| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Afo tib fx semi-rigid |
927 |
919 |
$268K |
| E0114 |
Crutch underarm pair no wood |
8,080 |
7,901 |
$149K |
| E0570 |
Nebulizer with compression |
1,967 |
1,961 |
$130K |
| E1390 |
Oxygen concentrator |
1,882 |
1,874 |
$125K |
| L3809 |
Whfo w/o joints pre ots |
1,017 |
998 |
$115K |
| L1906 |
Afo multilig ank sup pre ots |
1,665 |
1,656 |
$98K |
| L1830 |
Ko immob canvas long pre ots |
2,022 |
2,007 |
$98K |
| E0143 |
Walker folding wheeled w/o s |
1,674 |
1,660 |
$90K |
| L3908 |
Who cock-up nonmolde pre ots |
2,143 |
2,042 |
$76K |
| L3260 |
Ambulatory surgical boot eac |
1,315 |
1,298 |
$22K |
| A7005 |
Nondisposable nebulizer set |
1,161 |
1,158 |
$15K |
| E0431 |
Portable gaseous 02 |
913 |
886 |
$14K |
| K0001 |
Standard wheelchair |
277 |
270 |
$9K |
| E0261 |
Hosp bed semi-electr w/o mat |
64 |
64 |
$7K |
| E0630 |
Patient lift hydraulic |
67 |
64 |
$5K |
| E0100 |
Cane adjust/fixed with tip |
416 |
413 |
$4K |
| A4565 |
Slings |
568 |
541 |
$3K |
| L3670 |
So acro/clav can web pre ots |
25 |
25 |
$2K |
| E0163 |
Commode chair with fixed arm |
38 |
38 |
$2K |
| A4670 |
Automatic bp monitor, dial |
50 |
50 |
$2K |
| L3660 |
So 8 ab rstr can/web pre ots |
36 |
36 |
$1K |
| S8101 |
Spacer with mask |
36 |
36 |
$725.03 |
| E0156 |
Walker seat attachment |
36 |
36 |
$418.88 |
| S8100 |
Spacer without mask |
26 |
26 |
$298.68 |
| K0195 |
Elevating whlchair leg rests |
95 |
94 |
$104.92 |