| Code | Description | Claims | Beneficiaries | Total Paid |
| E0730 |
Tens four lead |
542 |
495 |
$62K |
| A4595 |
Tens suppl 2 lead per month |
608 |
580 |
$28K |
| E0935 |
Cont pas motion exercise dev |
213 |
157 |
$20K |
| L4361 |
Pneuma/vac walk boot pre ots |
160 |
156 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
240 |
198 |
$11K |
| E0163 |
Commode chair with fixed arm |
97 |
80 |
$4K |
| L1820 |
Ko elas w/ condyle pads & jo |
16 |
13 |
$606.33 |
| L3660 |
So 8 ab rstr can/web pre ots |
15 |
14 |
$450.18 |
| L3908 |
Who cock-up nonmolde pre ots |
14 |
12 |
$306.18 |
| E0745 |
Neuromuscular stim for shock |
217 |
205 |
$38.38 |