| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0935 |
Cont pas motion exercise dev |
2,282 |
1,283 |
$126K |
| L1833 |
Ko adj jnt pos r sup pre ots |
823 |
547 |
$108K |
| E0673 |
Pressure pneum appl half leg |
837 |
358 |
$28K |
| E0675 |
Pneumatic compression device |
628 |
423 |
$12K |
| E0650 |
Pneuma compresor non-segment |
1,163 |
803 |
$10K |
| E0249 |
Pad water circulating heat u |
994 |
670 |
$9K |
| E0236 |
Pump for water circulating p |
1,318 |
913 |
$5K |
| E0188 |
Synthetic sheepskin pad |
545 |
369 |
$2K |
| A9901 |
Delivery/set up/dispensing |
1,722 |
1,231 |
$619.85 |
| E0143 |
Walker folding wheeled w/o s |
17 |
12 |
$452.32 |
| E0163 |
Commode chair with fixed arm |
27 |
12 |
$311.68 |
| E0218 |
Fluid circ cold pad w pump |
304 |
237 |
$0.00 |