| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0648 |
Lso sag r an/pos pnl pre ots |
2,628 |
2,472 |
$959K |
| L1833 |
Ko adj jnt pos r sup pre ots |
3,010 |
1,987 |
$682K |
| L3960 |
Sewho airplan desig abdu pos |
1,835 |
1,557 |
$666K |
| E0570 |
Nebulizer with compression |
6,485 |
6,280 |
$449K |
| L1971 |
Afo w/ankle joint, prefab |
1,812 |
1,297 |
$402K |
| E0745 |
Neuromuscular stim for shock |
1,222 |
1,144 |
$265K |
| L3809 |
Whfo w/o joints pre ots |
2,632 |
1,823 |
$223K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
1,614 |
1,511 |
$161K |
| L4361 |
Pneuma/vac walk boot pre ots |
888 |
867 |
$135K |
| L2397 |
Suspension sleeve lower ext |
2,822 |
1,890 |
$122K |
| L1660 |
Ho abduction static plastic |
675 |
534 |
$59K |
| A7005 |
Nondisposable nebulizer set |
6,269 |
6,062 |
$55K |
| A6531 |
Compress stking bk30-40 surg |
842 |
776 |
$52K |
| E0730 |
Tens four lead |
646 |
590 |
$37K |
| L3908 |
Who cock-up nonmolde pre ots |
862 |
787 |
$30K |
| L3762 |
Eo rigid w/o joints pre ots |
719 |
544 |
$22K |
| L3710 |
Eo elas w/metal jnts pre ots |
420 |
300 |
$22K |
| T4524 |
Adult size brief/diaper xl |
147 |
146 |
$13K |
| A4595 |
Tens suppl 2 lead per month |
2,097 |
1,936 |
$12K |
| A7015 |
Aerosol mask used w nebulize |
6,265 |
6,060 |
$6K |
| A4554 |
Disposable underpads |
191 |
190 |
$6K |
| A4557 |
Lead wires, pair |
900 |
781 |
$4K |
| A4670 |
Automatic bp monitor, dial |
127 |
119 |
$4K |
| L4387 |
Non-pneum walk boot pre ots |
40 |
40 |
$4K |
| E0114 |
Crutch underarm pair no wood |
65 |
64 |
$2K |
| L3216 |
Orthoped ladies shoes dpth i |
24 |
12 |
$1K |
| A4927 |
Non-sterile gloves |
184 |
183 |
$1K |