| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Ko adj jnt pos r sup pre ots |
2,610 |
1,836 |
$728K |
| L0648 |
Lso sag r an/pos pnl pre ots |
1,491 |
1,444 |
$550K |
| L3960 |
Sewho airplan desig abdu pos |
1,456 |
1,226 |
$510K |
| E0745 |
Neuromuscular stim for shock |
1,938 |
1,756 |
$457K |
| L1971 |
Afo w/ankle joint, prefab |
1,422 |
1,015 |
$387K |
| L0631 |
Lso sag r an/pos pnl pre cst |
571 |
446 |
$232K |
| L3809 |
Whfo w/o joints pre ots |
1,846 |
1,233 |
$222K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
1,409 |
1,346 |
$182K |
| L0635 |
Lso sagit rigid panel prefab |
317 |
311 |
$165K |
| L2397 |
Suspension sleeve lower ext |
2,780 |
1,930 |
$145K |
| A6531 |
Compress stking bk30-40 surg |
1,764 |
931 |
$99K |
| L3031 |
Foot lamin/prepreg composite |
358 |
224 |
$70K |
| L1660 |
Ho abduction static plastic |
328 |
265 |
$32K |
| L3710 |
Eo elas w/metal jnts pre ots |
380 |
275 |
$26K |
| L3762 |
Eo rigid w/o joints pre ots |
401 |
271 |
$22K |
| A4595 |
Tens suppl 2 lead per month |
2,038 |
1,920 |
$18K |
| A4557 |
Lead wires, pair |
1,806 |
1,630 |
$8K |
| A4927 |
Non-sterile gloves |
27 |
25 |
$4K |
| E0730 |
Tens four lead |
193 |
184 |
$3K |
| A4670 |
Automatic bp monitor, dial |
45 |
42 |
$1K |
| A4554 |
Disposable underpads |
27 |
25 |
$793.80 |
| L1820 |
Ko elas w/ condyle pads & jo |
53 |
28 |
$280.78 |