| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic bp monitor, dial |
1,734 |
1,734 |
$247K |
| A4595 |
Tens suppl 2 lead per month |
5,396 |
5,391 |
$209K |
| E0651 |
Pneum compressor segmental |
171 |
171 |
$107K |
| E0667 |
Seg pneumatic appl full leg |
125 |
125 |
$64K |
| L3809 |
Whfo w/o joints pre ots |
190 |
187 |
$55K |
| L3916 |
Who nontorsion jnts pre ots |
98 |
95 |
$52K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
29 |
29 |
$11K |
| L1833 |
Ko adj jnt pos r sup pre ots |
17 |
15 |
$10K |
| E0720 |
Tens two lead |
45 |
45 |
$6K |
| A4557 |
Lead wires, pair |
306 |
305 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
62 |
55 |
$5K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
13 |
13 |
$2K |
| L2810 |
Knee control condylar pad |
15 |
14 |
$2K |
| L2397 |
Suspension sleeve lower ext |
15 |
14 |
$1K |
| L2795 |
Knee control full kneecap |
15 |
14 |
$1K |
| E0156 |
Walker seat attachment |
38 |
38 |
$653.60 |