| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15,824 |
8,943 |
$500K |
| 97165 |
|
2,179 |
1,758 |
$107K |
| L3808 |
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment |
15 |
12 |
$2K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
12 |
12 |
$289.29 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
98 |
64 |
$24.02 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
51 |
26 |
$8.65 |
| A6442 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard |
168 |
101 |
$7.69 |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
53 |
39 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
53 |
39 |
$0.00 |