| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
743 |
737 |
$12K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
334 |
330 |
$11K |
| E0570 |
Nebulizer, with compressor |
75 |
75 |
$6K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
93 |
93 |
$5K |
| A4565 |
Slings |
349 |
346 |
$2K |
| L3260 |
Surgical boot/shoe, each |
55 |
55 |
$734.53 |
| L3927 |
Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf |
13 |
13 |
$245.35 |
| E0605 |
Vaporizer, room type |
14 |
14 |
$157.61 |