| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
6,410 |
6,004 |
$1.35M |
| L3660 |
So 8 ab rstr can/web pre ots |
5,239 |
4,820 |
$359K |
| E0114 |
Crutch underarm pair no wood |
8,257 |
7,916 |
$310K |
| L3809 |
Whfo w/o joints pre ots |
2,770 |
2,555 |
$299K |
| L3908 |
Who cock-up nonmolde pre ots |
6,129 |
5,398 |
$256K |
| L4350 |
Ankle control ortho pre ots |
3,235 |
3,043 |
$199K |
| L1833 |
Ko adj jnt pos r sup pre ots |
459 |
423 |
$196K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,806 |
1,632 |
$132K |
| L1830 |
Ko immob canvas long pre ots |
2,392 |
2,283 |
$114K |
| E0143 |
Walker folding wheeled w/o s |
3,066 |
2,688 |
$100K |
| L3260 |
Ambulatory surgical boot eac |
3,354 |
2,777 |
$49K |
| L1902 |
Afo ankle gauntlet pre ots |
692 |
652 |
$38K |
| L3984 |
Upper ext fx orthosis wrist |
119 |
118 |
$37K |
| L3670 |
So acro/clav can web pre ots |
621 |
574 |
$32K |
| L1812 |
Ko elastic w/joints pre ots |
456 |
406 |
$28K |
| L4387 |
Non-pneum walk boot pre ots |
81 |
73 |
$9K |
| A4565 |
Slings |
1,305 |
1,202 |
$8K |
| L3924 |
Hfo without joints pre ots |
136 |
116 |
$7K |
| L3995 |
Sock fracture or equal each |
65 |
62 |
$2K |
| L1821 |
Ko elas w/ condyle pads otf |
85 |
76 |
$276.27 |
| A4566 |
Should sling/vest/abrestrain |
594 |
496 |
$46.53 |
| E0100 |
Cane adjust/fixed with tip |
16 |
13 |
$14.01 |