| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
6,699 |
6,013 |
$1.18M |
| L1833 |
Ko adj jnt pos r sup pre ots |
2,228 |
1,991 |
$905K |
| L4360 |
Pneumat walking boot pre cst |
3,441 |
3,104 |
$641K |
| L3809 |
Whfo w/o joints pre ots |
3,307 |
2,897 |
$429K |
| L3908 |
Who cock-up nonmolde pre ots |
11,617 |
9,520 |
$413K |
| L3670 |
So acro/clav can web pre ots |
4,668 |
4,223 |
$336K |
| L1902 |
Afo ankle gauntlet pre ots |
5,660 |
5,011 |
$301K |
| L3807 |
Whfo w/o joints pre cst |
1,455 |
1,347 |
$216K |
| L1832 |
Ko adj jnt pos r sup pre cst |
404 |
389 |
$215K |
| L1820 |
Ko elas w/ condyle pads & jo |
2,305 |
1,916 |
$187K |
| E0114 |
Crutch underarm pair no wood |
4,729 |
4,215 |
$153K |
| L1812 |
Ko elastic w/joints pre ots |
2,479 |
2,175 |
$142K |
| L1810 |
Ko elastic with joints |
1,284 |
1,163 |
$98K |
| L3260 |
Ambulatory surgical boot eac |
2,816 |
2,455 |
$98K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,066 |
888 |
$44K |
| L3960 |
Sewho airplan desig abdu pos |
82 |
59 |
$19K |
| L4350 |
Ankle control ortho pre ots |
215 |
201 |
$14K |
| L1906 |
Afo multilig ank sup pre ots |
151 |
141 |
$10K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
39 |
37 |
$7K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
24 |
24 |
$7K |
| L1830 |
Ko immob canvas long pre ots |
112 |
95 |
$6K |
| L4386 |
Non-pneum walk boot pre cst |
50 |
50 |
$6K |
| A4467 |
Belt strap sleev grmnt cover |
338 |
253 |
$4K |
| L3924 |
Hfo without joints pre ots |
62 |
53 |
$3K |
| L2425 |
Knee disc/dial lock/adj flex |
37 |
25 |
$2K |
| L3762 |
Eo rigid w/o joints pre ots |
14 |
12 |
$939.57 |
| L3170 |
Foot plas heel stabi pre ots |
12 |
12 |
$497.94 |
| E0218 |
Fluid circ cold pad w pump |
27 |
26 |
$175.00 |