| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,134 |
1,029 |
$84K |
| L3908 |
Who cock-up nonmolde pre ots |
552 |
482 |
$24K |
| L1902 |
Afo ankle gauntlet pre ots |
361 |
330 |
$22K |
| L1820 |
Ko elas w/ condyle pads & jo |
93 |
89 |
$11K |
| L3670 |
So acro/clav can web pre ots |
95 |
93 |
$10K |
| E0114 |
Crutch underarm pair no wood |
244 |
198 |
$8K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
46 |
32 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
53 |
52 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
43 |
40 |
$2K |
| L3924 |
Hfo without joints pre ots |
12 |
12 |
$257.07 |
| A4565 |
Slings |
46 |
24 |
$160.65 |