| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
327 |
325 |
$17K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
151 |
151 |
$11K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
50 |
41 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
98 |
84 |
$1K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
14 |
12 |
$219.16 |