| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,165 |
1,106 |
$215K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,558 |
1,374 |
$57K |
| E0570 |
Nebulizer, with compressor |
1,059 |
967 |
$49K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
459 |
403 |
$44K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
860 |
834 |
$30K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
183 |
172 |
$30K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
357 |
345 |
$25K |
| L3260 |
Surgical boot/shoe, each |
698 |
594 |
$10K |
| A4500 |
Surgical stockings below knee length, each |
583 |
567 |
$9K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
82 |
81 |
$4K |
| A4565 |
Slings |
780 |
746 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
173 |
163 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
47 |
42 |
$2K |
| L0140 |
Cervical, semi-rigid, adjustable (plastic collar) |
26 |
25 |
$405.29 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
15 |
$21.62 |