| Code | Description | Claims | Beneficiaries | Total Paid |
| E0745 |
Neuromuscular stim for shock |
3,042 |
2,326 |
$424K |
| L0648 |
Lso sag r an/pos pnl pre ots |
1,362 |
1,174 |
$362K |
| E0652 |
Pneum compres w/cal pressure |
1,044 |
960 |
$338K |
| L3915 |
Who nontorsion jnts pre cst |
1,508 |
771 |
$297K |
| E0731 |
Conductive garment for tens/ |
2,788 |
1,992 |
$217K |
| L1832 |
Ko adj jnt pos r sup pre cst |
1,320 |
862 |
$201K |
| E0667 |
Seg pneumatic appl full leg |
1,181 |
708 |
$97K |
| E0651 |
Pneum compressor segmental |
699 |
664 |
$65K |
| L0457 |
Tlso flex trnk sj-ss pre ots |
200 |
174 |
$56K |
| L3807 |
Whfo w/o joints pre cst |
449 |
322 |
$46K |
| L2397 |
Suspension sleeve lower ext |
1,555 |
1,001 |
$44K |
| A4556 |
Electrodes, pair |
2,676 |
2,108 |
$26K |
| L3916 |
Who nontorsion jnts pre ots |
218 |
112 |
$25K |
| A4557 |
Lead wires, pair |
2,570 |
1,952 |
$20K |
| L2810 |
Knee control condylar pad |
236 |
184 |
$8K |
| L4360 |
Pneumat walking boot pre cst |
80 |
73 |
$8K |
| A4630 |
Repl bat t.e.n.s. own by pt |
2,253 |
1,698 |
$5K |
| L2840 |
Tibial length sock fx or equ |
60 |
58 |
$3K |
| L3982 |
Upper ext fx orthosis rad/ul |
13 |
13 |
$2K |
| L0631 |
Lso sag r an/pos pnl pre cst |
13 |
12 |
$806.10 |
| A4595 |
Tens suppl 2 lead per month |
90 |
58 |
$315.62 |
| L3995 |
Sock fracture or equal each |
13 |
13 |
$310.80 |