| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4556 |
Electrodes, pair |
2,409 |
2,201 |
$316K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,961 |
1,785 |
$207K |
| L3809 |
Whfo w/o joints pre ots |
889 |
799 |
$79K |
| A4595 |
Tens suppl 2 lead per month |
996 |
822 |
$75K |
| L1833 |
Ko adj jnt pos r sup pre ots |
310 |
276 |
$62K |
| L3908 |
Who cock-up nonmolde pre ots |
2,418 |
2,084 |
$53K |
| E0143 |
Walker folding wheeled w/o s |
526 |
491 |
$19K |
| L3670 |
So acro/clav can web pre ots |
402 |
376 |
$19K |
| E0114 |
Crutch underarm pair no wood |
1,092 |
1,007 |
$18K |
| E0731 |
Conductive garment for tens/ |
12 |
12 |
$17K |
| L1820 |
Ko elas w/ condyle pads & jo |
505 |
462 |
$16K |
| E0935 |
Cont pas motion exercise dev |
189 |
174 |
$10K |
| L3260 |
Ambulatory surgical boot eac |
312 |
259 |
$6K |
| E0730 |
Tens four lead |
70 |
70 |
$5K |
| L1902 |
Afo ankle gauntlet pre ots |
151 |
123 |
$5K |
| L2810 |
Knee control condylar pad |
165 |
156 |
$4K |
| E0676 |
Inter limb compress dev nos |
1,527 |
1,473 |
$3K |
| A4557 |
Lead wires, pair |
139 |
138 |
$2K |
| A6196 |
Alginate dressing <=16 sq in |
32 |
29 |
$1K |
| L2114 |
Afo tib fx semi-rigid |
12 |
12 |
$919.97 |
| L4360 |
Pneumat walking boot pre cst |
12 |
12 |
$827.05 |
| A4565 |
Slings |
152 |
133 |
$669.97 |
| E0188 |
Synthetic sheepskin pad |
172 |
158 |
$514.52 |
| A6402 |
Sterile gauze <= 16 sq in |
107 |
90 |
$165.22 |
| A6446 |
Conform band s w>=3" <5"/yd |
13 |
12 |
$142.49 |
| E0218 |
Fluid circ cold pad w pump |
166 |
150 |
$80.00 |
| A6260 |
Wound cleanser any type/size |
66 |
61 |
$69.93 |
| A4927 |
Non-sterile gloves |
13 |
13 |
$62.69 |
| A4450 |
Non-waterproof tape |
69 |
66 |
$23.29 |
| A9901 |
Delivery/set up/dispensing |
12 |
12 |
$0.00 |