| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Ko adj jnt pos r sup pre ots |
465 |
450 |
$108K |
| E0676 |
Inter limb compress dev nos |
55 |
54 |
$14K |
| L4361 |
Pneuma/vac walk boot pre ots |
65 |
64 |
$12K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
13 |
12 |
$8K |
| L2397 |
Suspension sleeve lower ext |
172 |
162 |
$6K |
| E0673 |
Pressure pneum appl half leg |
131 |
64 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
66 |
55 |
$3K |
| E0114 |
Crutch underarm pair no wood |
76 |
76 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
14 |
14 |
$560.86 |
| 98960 |
|
80 |
77 |
$135.00 |
| E0675 |
Pneumatic compression device |
75 |
68 |
$86.59 |
| A9901 |
Delivery/set up/dispensing |
84 |
81 |
$29.50 |