| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4595 |
Tens suppl 2 lead per month |
189,049 |
184,056 |
$3.11M |
| E0603 |
Electric breast pump |
10,810 |
9,417 |
$2.74M |
| E0730 |
Tens four lead |
15,694 |
14,594 |
$1.65M |
| E0748 |
Elec osteogen stim spinal |
66 |
61 |
$147K |
| L0639 |
Lso s/c shell/panel prefab |
124 |
118 |
$60K |
| E0745 |
Neuromuscular stim for shock |
107 |
92 |
$43K |
| L3908 |
Who cock-up nonmolde pre ots |
1,479 |
1,039 |
$41K |
| E0676 |
Inter limb compress dev nos |
123 |
78 |
$34K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
91 |
70 |
$32K |
| L1833 |
Ko adj jnt pos r sup pre ots |
137 |
101 |
$27K |
| L4360 |
Pneumat walking boot pre cst |
132 |
126 |
$14K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
58 |
57 |
$7K |
| L3807 |
Whfo w/o joints pre cst |
28 |
24 |
$3K |
| E0114 |
Crutch underarm pair no wood |
63 |
57 |
$3K |
| L3000 |
Ft insert ucb berkeley shell |
14 |
12 |
$2K |
| L3670 |
So acro/clav can web pre ots |
14 |
13 |
$1K |
| L1820 |
Ko elas w/ condyle pads & jo |
14 |
12 |
$799.04 |
| A4285 |
Replcmnt breast pump bottle |
56 |
55 |
$0.00 |
| A4281 |
Replacement breastpump tube |
56 |
55 |
$0.00 |
| A4286 |
Replcmnt breastpump lok ring |
56 |
55 |
$0.00 |
| A4282 |
Replacement breastpump adpt |
56 |
55 |
$0.00 |
| A4284 |
Replcmnt breast pump shield |
55 |
54 |
$0.00 |
| A4283 |
Replacement breastpump cap |
56 |
55 |
$0.00 |