| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,165 |
1,106 |
$215K |
| L3908 |
Who cock-up nonmolde pre ots |
1,558 |
1,374 |
$57K |
| E0570 |
Nebulizer with compression |
1,059 |
967 |
$49K |
| E1390 |
Oxygen concentrator |
459 |
403 |
$44K |
| E0114 |
Crutch underarm pair no wood |
860 |
834 |
$30K |
| L3809 |
Whfo w/o joints pre ots |
183 |
172 |
$30K |
| L1820 |
Ko elas w/ condyle pads & jo |
357 |
345 |
$25K |
| L3260 |
Ambulatory surgical boot eac |
698 |
594 |
$10K |
| A4500 |
Below knee surgical stocking |
583 |
567 |
$9K |
| L1902 |
Afo ankle gauntlet pre ots |
82 |
81 |
$4K |
| A4565 |
Slings |
780 |
746 |
$4K |
| A7005 |
Nondisposable nebulizer set |
173 |
163 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
47 |
42 |
$2K |
| L0140 |
Cervical semi-rigid adjustab |
26 |
25 |
$405.29 |
| A7003 |
Nebulizer administration set |
15 |
15 |
$21.62 |