| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0118 |
Crutch substitute |
5,338 |
4,197 |
$253K |
| L3809 |
Whfo w/o joints pre ots |
764 |
687 |
$118K |
| L4361 |
Pneuma/vac walk boot pre ots |
525 |
469 |
$91K |
| L4360 |
Pneumat walking boot pre cst |
405 |
384 |
$89K |
| L1833 |
Ko adj jnt pos r sup pre ots |
190 |
167 |
$73K |
| E0218 |
Fluid circ cold pad w pump |
192 |
158 |
$52K |
| L3908 |
Who cock-up nonmolde pre ots |
1,368 |
1,128 |
$45K |
| L1902 |
Afo ankle gauntlet pre ots |
400 |
370 |
$20K |
| A4595 |
Tens suppl 2 lead per month |
1,305 |
972 |
$15K |
| L3960 |
Sewho airplan desig abdu pos |
12 |
12 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
119 |
74 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
60 |
51 |
$2K |
| E0114 |
Crutch underarm pair no wood |
14 |
14 |
$633.77 |
| E0240 |
Bath/shower chair |
92 |
39 |
$588.58 |