| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,135 |
1,089 |
$203K |
| E0114 |
Crutch underarm pair no wood |
1,727 |
1,695 |
$76K |
| L3908 |
Who cock-up nonmolde pre ots |
1,541 |
1,465 |
$74K |
| L3660 |
So 8 ab rstr can/web pre ots |
764 |
743 |
$58K |
| L3260 |
Ambulatory surgical boot eac |
1,645 |
1,556 |
$55K |
| L3809 |
Whfo w/o joints pre ots |
100 |
98 |
$16K |
| L8420 |
Prosthetic sock multi ply bk |
127 |
108 |
$14K |
| L5679 |
Socket insert w/o lock mech |
17 |
15 |
$12K |
| L8400 |
Sheath below knee |
100 |
88 |
$9K |
| L1830 |
Ko immob canvas long pre ots |
158 |
147 |
$8K |
| L5685 |
Below knee sus/seal sleeve |
42 |
36 |
$6K |
| L5910 |
Endo below knee alignable sy |
13 |
12 |
$4K |
| A4565 |
Slings |
507 |
490 |
$4K |
| L5637 |
Below knee total contact |
15 |
13 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
27 |
27 |
$2K |
| L8470 |
Pros sock single ply bk |
77 |
66 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
26 |
25 |
$2K |
| L8440 |
Shrinker below knee |
14 |
12 |
$819.72 |