| Code | Description | Claims | Beneficiaries | Total Paid |
| L4360 |
Pneumat walking boot pre cst |
1,516 |
1,157 |
$231K |
| A4670 |
Automatic bp monitor, dial |
1,342 |
1,111 |
$73K |
| L3908 |
Who cock-up nonmolde pre ots |
1,336 |
996 |
$41K |
| E0760 |
Osteogen ultrasound stimltor |
16 |
13 |
$34K |
| L1820 |
Ko elas w/ condyle pads & jo |
389 |
294 |
$28K |
| E0570 |
Nebulizer with compression |
230 |
200 |
$28K |
| L3807 |
Whfo w/o joints pre cst |
176 |
131 |
$25K |
| L1902 |
Afo ankle gauntlet pre ots |
471 |
339 |
$19K |
| E0445 |
Oximeter non-invasive |
100 |
100 |
$15K |
| E1639 |
Scale, each |
110 |
109 |
$8K |
| L4361 |
Pneuma/vac walk boot pre ots |
25 |
23 |
$4K |
| L4386 |
Non-pneum walk boot pre cst |
43 |
26 |
$3K |
| L2795 |
Knee control full kneecap |
39 |
27 |
$1K |
| A7003 |
Nebulizer administration set |
258 |
224 |
$608.36 |
| A7015 |
Aerosol mask used w nebulize |
258 |
224 |
$428.19 |
| A7013 |
Disposable compressor filter |
98 |
80 |
$63.43 |
| E0745 |
Neuromuscular stim for shock |
840 |
657 |
$0.00 |