| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
1,090 |
1,078 |
$205K |
| L3908 |
Who cock-up nonmolde pre ots |
938 |
761 |
$43K |
| L1820 |
Ko elas w/ condyle pads & jo |
384 |
347 |
$33K |
| E0570 |
Nebulizer with compression |
245 |
215 |
$26K |
| L3650 |
So 8 abd restraint pre ots |
506 |
477 |
$19K |
| L4360 |
Pneumat walking boot pre cst |
71 |
69 |
$17K |
| L0621 |
Sio flex pelvic/sacr pre ots |
193 |
185 |
$15K |
| E0114 |
Crutch underarm pair no wood |
323 |
303 |
$12K |
| L3260 |
Ambulatory surgical boot eac |
69 |
65 |
$2K |
| L3807 |
Whfo w/o joints pre cst |
12 |
12 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
24 |
24 |
$2K |