| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
4,433 |
4,309 |
$927K |
| E0570 |
Nebulizer with compression |
11,818 |
11,432 |
$238K |
| L3908 |
Who cock-up nonmolde pre ots |
3,336 |
3,095 |
$176K |
| E0114 |
Crutch underarm pair no wood |
3,355 |
3,280 |
$164K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,021 |
977 |
$126K |
| L1902 |
Afo ankle gauntlet pre ots |
1,587 |
1,544 |
$97K |
| A4627 |
Spacer bag/reservoir |
2,714 |
2,665 |
$84K |
| L3809 |
Whfo w/o joints pre ots |
1,140 |
1,096 |
$70K |
| A7005 |
Nondisposable nebulizer set |
2,296 |
2,228 |
$48K |
| A4467 |
Belt strap sleev grmnt cover |
1,667 |
1,585 |
$45K |
| L4387 |
Non-pneum walk boot pre ots |
481 |
455 |
$44K |
| L4350 |
Ankle control ortho pre ots |
505 |
492 |
$38K |
| L1833 |
Ko adj jnt pos r sup pre ots |
74 |
73 |
$30K |
| L1830 |
Ko immob canvas long pre ots |
441 |
433 |
$27K |
| E0143 |
Walker folding wheeled w/o s |
552 |
520 |
$27K |
| E0118 |
Crutch substitute |
473 |
456 |
$26K |
| E0603 |
Electric breast pump |
146 |
146 |
$26K |
| A4565 |
Slings |
2,772 |
2,640 |
$22K |
| L3260 |
Ambulatory surgical boot eac |
1,852 |
1,782 |
$18K |
| L1812 |
Ko elastic w/joints pre ots |
186 |
183 |
$14K |
| L0621 |
Sio flex pelvic/sacr pre ots |
73 |
69 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
160 |
157 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
766 |
754 |
$1K |
| A7003 |
Nebulizer administration set |
541 |
469 |
$52.27 |