| Code | Description | Claims | Beneficiaries | Total Paid |
| E0652 |
Pneum compres w/cal pressure |
678 |
663 |
$706K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
1,080 |
1,013 |
$693K |
| E0651 |
Pneum compressor segmental |
1,594 |
1,542 |
$232K |
| E0667 |
Seg pneumatic appl full leg |
993 |
539 |
$202K |
| A4595 |
Tens suppl 2 lead per month |
3,495 |
3,373 |
$127K |
| E0730 |
Tens four lead |
454 |
448 |
$96K |
| E0731 |
Conductive garment for tens/ |
247 |
243 |
$28K |
| L1833 |
Ko adj jnt pos r sup pre ots |
42 |
39 |
$21K |
| L4361 |
Pneuma/vac walk boot pre ots |
69 |
69 |
$11K |
| A4557 |
Lead wires, pair |
455 |
449 |
$8K |
| L0180 |
Cer post col occ/man sup adj |
43 |
40 |
$5K |
| E0745 |
Neuromuscular stim for shock |
2,806 |
2,789 |
$3K |