| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,060 |
1,000 |
$611K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
320 |
304 |
$50K |
| E0676 |
Intermittent limb compression device (includes all accessories), not otherwise specified |
26 |
25 |
$26K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
123 |
118 |
$4K |
| 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 |
44 |
41 |
$4K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
13 |
12 |
$3K |
| E0602 |
Breast pump, manual, any type |
39 |
38 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
45 |
43 |
$2K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
17 |
17 |
$622.39 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
14 |
14 |
$378.68 |