| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
533 |
524 |
$20K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
686 |
674 |
$16K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
157 |
155 |
$14K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
226 |
218 |
$13K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
52 |
44 |
$7K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
14 |
13 |
$3K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
28 |
28 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
116 |
112 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
55 |
54 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
24 |
24 |
$2K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
13 |
12 |
$974.88 |
| L3260 |
Surgical boot/shoe, each |
13 |
13 |
$120.19 |