| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,226 |
1,213 |
$266K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,555 |
1,402 |
$153K |
| L3908 |
Who cock-up nonmolde pre ots |
2,735 |
2,250 |
$121K |
| L3809 |
Whfo w/o joints pre ots |
390 |
357 |
$70K |
| L0631 |
Lso sag r an/pos pnl pre cst |
52 |
51 |
$39K |
| L1902 |
Afo ankle gauntlet pre ots |
419 |
402 |
$37K |
| L3670 |
So acro/clav can web pre ots |
299 |
298 |
$24K |
| A5500 |
Diab shoe for density insert |
290 |
172 |
$17K |
| A5513 |
Multi den insert custom mold |
84 |
55 |
$7K |
| L2275 |
Plastic mod low ext pad/line |
47 |
28 |
$4K |
| L1812 |
Ko elastic w/joints pre ots |
21 |
19 |
$1K |
| L2820 |
Soft interface below knee se |
15 |
14 |
$900.73 |