| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
765 |
750 |
$108K |
| L4361 |
Pneuma/vac walk boot pre ots |
346 |
339 |
$40K |
| E0570 |
Nebulizer with compression |
226 |
223 |
$20K |
| L3908 |
Who cock-up nonmolde pre ots |
717 |
690 |
$20K |
| E0114 |
Crutch underarm pair no wood |
781 |
766 |
$18K |
| L3660 |
So 8 ab rstr can/web pre ots |
354 |
353 |
$16K |
| A6530 |
Compression stocking bk18-30 |
479 |
139 |
$15K |
| A4467 |
Belt strap sleev grmnt cover |
339 |
327 |
$15K |
| L4360 |
Pneumat walking boot pre cst |
100 |
99 |
$13K |
| L1832 |
Ko adj jnt pos r sup pre cst |
15 |
15 |
$4K |
| L1833 |
Ko adj jnt pos r sup pre ots |
13 |
13 |
$3K |
| L3807 |
Whfo w/o joints pre cst |
12 |
12 |
$2K |
| L3809 |
Whfo w/o joints pre ots |
24 |
24 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
27 |
25 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
24 |
24 |
$982.91 |
| E0143 |
Walker folding wheeled w/o s |
14 |
14 |
$836.99 |
| A7003 |
Nebulizer administration set |
116 |
107 |
$305.92 |
| A7015 |
Aerosol mask used w nebulize |
130 |
130 |
$157.76 |
| A7013 |
Disposable compressor filter |
149 |
147 |
$156.31 |