| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
326,010 |
115,575 |
$16.50M |
| 92507 |
|
268,184 |
98,308 |
$14.00M |
| 96112 |
|
12,556 |
12,126 |
$2.49M |
| E1399 |
Durable medical equipment mi |
3,749 |
2,750 |
$2.43M |
| H0004 |
Alcohol and/or drug services |
15,931 |
7,972 |
$1.14M |
| L1907 |
Afo supramalleolar custom |
1,180 |
1,132 |
$856K |
| A9900 |
Supply/accessory/service |
7,242 |
5,014 |
$426K |
| L2275 |
Plastic mod low ext pad/line |
1,917 |
1,836 |
$342K |
| 96111 |
|
1,779 |
1,778 |
$338K |
| L2280 |
Molded inner boot |
194 |
189 |
$96K |
| 97163 |
|
592 |
585 |
$65K |
| L1960 |
Afo pos solid ank plastic mo |
94 |
91 |
$61K |
| L3060 |
Foot arch supp longitud/meta |
1,024 |
1,019 |
$57K |
| 92523 |
|
1,994 |
1,501 |
$56K |
| L2820 |
Soft interface below knee se |
424 |
416 |
$39K |
| L2840 |
Tibial length sock fx or equ |
246 |
230 |
$28K |
| 97167 |
|
63 |
63 |
$9K |
| L2999 |
Lower extremity orthosis nos |
102 |
95 |
$6K |
| 92012 |
|
1,048 |
586 |
$0.00 |
| V5266 |
Battery for hearing device |
38 |
36 |
$0.00 |
| V5267 |
Hearing aid sup/access/dev |
48 |
26 |
$0.00 |
| V5264 |
Ear mold/insert |
41 |
36 |
$0.00 |