| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
438 |
420 |
$65K |
| L3660 |
So 8 ab rstr can/web pre ots |
776 |
730 |
$39K |
| L3809 |
Whfo w/o joints pre ots |
336 |
306 |
$27K |
| E0114 |
Crutch underarm pair no wood |
965 |
920 |
$24K |
| L4350 |
Ankle control ortho pre ots |
396 |
376 |
$18K |
| L3908 |
Who cock-up nonmolde pre ots |
591 |
527 |
$17K |
| L1830 |
Ko immob canvas long pre ots |
206 |
196 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
313 |
286 |
$6K |
| L1820 |
Ko elas w/ condyle pads & jo |
116 |
111 |
$6K |
| L1902 |
Afo ankle gauntlet pre ots |
120 |
110 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
393 |
323 |
$4K |
| L1812 |
Ko elastic w/joints pre ots |
12 |
12 |
$711.58 |