| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
19,662 |
18,967 |
$3.68M |
| L4361 |
Pneuma/vac walk boot pre ots |
6,420 |
5,844 |
$1.22M |
| L3670 |
So acro/clav can web pre ots |
12,491 |
11,336 |
$760K |
| L3809 |
Whfo w/o joints pre ots |
3,943 |
3,537 |
$492K |
| E0114 |
Crutch underarm pair no wood |
11,330 |
10,576 |
$388K |
| L3908 |
Who cock-up nonmolde pre ots |
7,829 |
6,926 |
$344K |
| L1820 |
Ko elas w/ condyle pads & jo |
4,266 |
3,882 |
$330K |
| L4360 |
Pneumat walking boot pre cst |
1,498 |
1,258 |
$291K |
| E0143 |
Walker folding wheeled w/o s |
3,518 |
3,072 |
$193K |
| L1830 |
Ko immob canvas long pre ots |
3,056 |
2,762 |
$177K |
| L4350 |
Ankle control ortho pre ots |
2,798 |
2,617 |
$162K |
| L1902 |
Afo ankle gauntlet pre ots |
2,898 |
2,565 |
$157K |
| L3260 |
Ambulatory surgical boot eac |
4,544 |
3,939 |
$137K |
| L3807 |
Whfo w/o joints pre cst |
1,029 |
941 |
$134K |
| L0621 |
Sio flex pelvic/sacr pre ots |
1,114 |
1,054 |
$82K |
| L1833 |
Ko adj jnt pos r sup pre ots |
189 |
171 |
$56K |
| L0172 |
Cerv col sr foam 2pc pre ots |
856 |
758 |
$51K |
| L1832 |
Ko adj jnt pos r sup pre cst |
85 |
78 |
$32K |
| L3924 |
Hfo without joints pre ots |
395 |
348 |
$19K |
| L1851 |
Ko single upright prefab ots |
14 |
12 |
$9K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
74 |
58 |
$9K |
| L4387 |
Non-pneum walk boot pre ots |
107 |
91 |
$8K |
| L3960 |
Sewho airplan desig abdu pos |
15 |
12 |
$5K |
| A4467 |
Belt strap sleev grmnt cover |
12 |
12 |
$56.00 |