| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
765 |
750 |
$108K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
346 |
339 |
$40K |
| E0570 |
Nebulizer, with compressor |
226 |
223 |
$20K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
717 |
690 |
$20K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
781 |
766 |
$18K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
354 |
353 |
$16K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
479 |
139 |
$15K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
339 |
327 |
$15K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
100 |
99 |
$13K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
15 |
$4K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
13 |
13 |
$3K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$2K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
24 |
24 |
$2K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
27 |
25 |
$1K |
| L3260 |
Surgical boot/shoe, each |
24 |
24 |
$982.91 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$836.99 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
116 |
107 |
$305.92 |
| A7015 |
Aerosol mask, used with dme nebulizer |
130 |
130 |
$157.76 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
149 |
147 |
$156.31 |