| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutch underarm pair no wood |
55,108 |
47,243 |
$1.76M |
| L3650 |
So 8 abd restraint pre ots |
26,733 |
22,872 |
$999K |
| L4361 |
Pneuma/vac walk boot pre ots |
6,198 |
5,166 |
$957K |
| L4350 |
Ankle control ortho pre ots |
16,081 |
13,668 |
$910K |
| L1830 |
Ko immob canvas long pre ots |
15,995 |
13,408 |
$750K |
| L3809 |
Whfo w/o joints pre ots |
5,206 |
4,459 |
$692K |
| L3908 |
Who cock-up nonmolde pre ots |
15,515 |
12,790 |
$527K |
| E0143 |
Walker folding wheeled w/o s |
14,624 |
11,755 |
$515K |
| L4360 |
Pneumat walking boot pre cst |
2,914 |
2,264 |
$371K |
| L3260 |
Ambulatory surgical boot eac |
17,247 |
14,714 |
$330K |
| L0625 |
Lo flex l1-below l5 pre ots |
8,670 |
5,987 |
$222K |
| L0172 |
Cerv col sr foam 2pc pre ots |
2,527 |
2,071 |
$167K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
1,762 |
1,505 |
$158K |
| L3807 |
Whfo w/o joints pre cst |
1,309 |
1,149 |
$153K |
| L3670 |
So acro/clav can web pre ots |
2,421 |
1,972 |
$129K |
| E0100 |
Cane adjust/fixed with tip |
6,536 |
5,595 |
$85K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,036 |
889 |
$43K |
| L3265 |
Plastazote sandal each |
3,249 |
2,410 |
$24K |
| A4565 |
Slings |
6,857 |
6,291 |
$10K |
| L1820 |
Ko elas w/ condyle pads & jo |
81 |
62 |
$6K |
| L1832 |
Ko adj jnt pos r sup pre cst |
14 |
14 |
$3K |
| L4396 |
Static or dynami afo pre cst |
35 |
27 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
64 |
53 |
$3K |
| L0120 |
Cerv flex n/adj foam pre ots |
212 |
172 |
$3K |
| E0135 |
Walker folding adjust/fixed |
88 |
68 |
$2K |
| E0148 |
Heavyduty walker no wheels |
16 |
12 |
$780.22 |