| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3807 |
Whfo w/o joints pre cst |
875 |
806 |
$166K |
| L4361 |
Pneuma/vac walk boot pre ots |
399 |
388 |
$110K |
| L1820 |
Ko elas w/ condyle pads & jo |
932 |
888 |
$105K |
| L3670 |
So acro/clav can web pre ots |
708 |
687 |
$80K |
| E0110 |
Crutch forearm pair |
829 |
817 |
$65K |
| L3260 |
Ambulatory surgical boot eac |
655 |
620 |
$55K |
| 97110 |
|
398 |
138 |
$5K |
| L1902 |
Afo ankle gauntlet pre ots |
32 |
30 |
$2K |
| L1833 |
Ko adj jnt pos r sup pre ots |
17 |
17 |
$713.90 |
| A4670 |
Automatic bp monitor, dial |
12 |
12 |
$537.72 |
| 97140 |
|
46 |
19 |
$182.70 |
| E0570 |
Nebulizer with compression |
78 |
75 |
$36.79 |