| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3807 |
Whfo w/o joints pre cst |
1,540 |
1,451 |
$173K |
| L4350 |
Ankle control ortho pre ots |
2,747 |
2,606 |
$142K |
| E0114 |
Crutch underarm pair no wood |
5,794 |
5,571 |
$119K |
| L4360 |
Pneumat walking boot pre cst |
814 |
788 |
$112K |
| L1830 |
Ko immob canvas long pre ots |
1,381 |
1,305 |
$57K |
| L3908 |
Who cock-up nonmolde pre ots |
1,347 |
1,261 |
$49K |
| L1820 |
Ko elas w/ condyle pads & jo |
637 |
607 |
$46K |
| E0135 |
Walker folding adjust/fixed |
711 |
669 |
$25K |
| L3650 |
So 8 abd restraint pre ots |
639 |
601 |
$22K |
| A4565 |
Slings |
2,607 |
2,521 |
$14K |
| L3211 |
Surgical boot each junior |
420 |
405 |
$10K |
| L3260 |
Ambulatory surgical boot eac |
998 |
940 |
$9K |
| A4570 |
Splint |
693 |
671 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
129 |
124 |
$4K |
| E0155 |
Walker wheel attachment,pair |
248 |
237 |
$3K |
| L3209 |
Surgical boot each child |
77 |
76 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
76 |
66 |
$526.82 |
| L3660 |
So 8 ab rstr can/web pre ots |
36 |
31 |
$381.07 |