| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lso sc r ant/pos pnl pre ots |
2,323 |
2,182 |
$1.59M |
| E0745 |
Neuromuscular stim for shock |
489 |
420 |
$480K |
| L1833 |
Ko adj jnt pos r sup pre ots |
600 |
406 |
$232K |
| L3809 |
Whfo w/o joints pre ots |
424 |
232 |
$54K |
| L2397 |
Suspension sleeve lower ext |
574 |
389 |
$43K |
| E0730 |
Tens four lead |
328 |
302 |
$33K |
| E0260 |
Hosp bed semi-electr w/ matt |
214 |
208 |
$8K |
| A4595 |
Tens suppl 2 lead per month |
346 |
320 |
$7K |
| A5500 |
Diab shoe for density insert |
90 |
88 |
$3K |
| E0570 |
Nebulizer with compression |
117 |
116 |
$913.14 |
| A5513 |
Multi den insert custom mold |
36 |
29 |
$909.22 |
| A4557 |
Lead wires, pair |
313 |
290 |
$105.19 |
| K0001 |
Standard wheelchair |
33 |
25 |
$0.00 |