| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1832 |
Ko adj jnt pos r sup pre cst |
2,078 |
2,036 |
$812K |
| E2510 |
Sgd w multi methods msg/accs |
132 |
131 |
$667K |
| L4361 |
Pneuma/vac walk boot pre ots |
3,272 |
3,240 |
$506K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,265 |
1,225 |
$496K |
| E0651 |
Pneum compressor segmental |
1,638 |
1,631 |
$309K |
| L3984 |
Upper ext fx orthosis wrist |
1,245 |
1,234 |
$242K |
| L1820 |
Ko elas w/ condyle pads & jo |
2,670 |
2,440 |
$231K |
| L3908 |
Who cock-up nonmolde pre ots |
4,135 |
3,564 |
$175K |
| E0603 |
Electric breast pump |
1,237 |
1,235 |
$150K |
| E0667 |
Seg pneumatic appl full leg |
583 |
367 |
$119K |
| L3809 |
Whfo w/o joints pre ots |
844 |
803 |
$113K |
| L1902 |
Afo ankle gauntlet pre ots |
2,239 |
2,194 |
$101K |
| L0637 |
Lso sc r ant/pos pnl pre cst |
133 |
133 |
$90K |
| L4360 |
Pneumat walking boot pre cst |
373 |
372 |
$61K |
| E0114 |
Crutch underarm pair no wood |
1,930 |
1,921 |
$54K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
204 |
203 |
$51K |
| L3960 |
Sewho airplan desig abdu pos |
111 |
110 |
$46K |
| E0570 |
Nebulizer with compression |
1,608 |
1,592 |
$41K |
| E0730 |
Tens four lead |
446 |
440 |
$39K |
| L3660 |
So 8 ab rstr can/web pre ots |
527 |
524 |
$30K |
| E0143 |
Walker folding wheeled w/o s |
492 |
489 |
$28K |
| A4670 |
Automatic bp monitor, dial |
473 |
470 |
$26K |
| A6530 |
Compression stocking bk18-30 |
724 |
509 |
$22K |
| K0003 |
Lightweight wheelchair |
484 |
481 |
$22K |
| L3670 |
So acro/clav can web pre ots |
193 |
193 |
$11K |
| L0631 |
Lso sag r an/pos pnl pre cst |
19 |
19 |
$11K |
| L0180 |
Cer post col occ/man sup adj |
26 |
26 |
$7K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
16 |
16 |
$5K |
| L3807 |
Whfo w/o joints pre cst |
28 |
28 |
$4K |
| K0001 |
Standard wheelchair |
93 |
93 |
$3K |
| A6545 |
Grad com non-elastic bk surg |
63 |
40 |
$3K |
| A4595 |
Tens suppl 2 lead per month |
90 |
90 |
$2K |
| A6533 |
Gc stocking thighlngth 18-30 |
46 |
37 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
37 |
37 |
$2K |
| A7005 |
Nondisposable nebulizer set |
103 |
103 |
$1K |
| E0135 |
Walker folding adjust/fixed |
27 |
27 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
85 |
85 |
$1K |
| A6583 |
Grad com wrap w straps bk |
26 |
13 |
$982.76 |
| K0195 |
Elevating whlchair leg rests |
76 |
75 |
$692.24 |
| E0156 |
Walker seat attachment |
40 |
40 |
$503.27 |