| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,886 |
1,778 |
$319K |
| L1833 |
Ko adj jnt pos r sup pre ots |
704 |
643 |
$318K |
| L1812 |
Ko elastic w/joints pre ots |
1,597 |
1,483 |
$130K |
| L3908 |
Who cock-up nonmolde pre ots |
2,095 |
1,972 |
$68K |
| L1902 |
Afo ankle gauntlet pre ots |
1,188 |
1,135 |
$56K |
| L3809 |
Whfo w/o joints pre ots |
393 |
369 |
$55K |
| L2795 |
Knee control full kneecap |
950 |
903 |
$53K |
| L1820 |
Ko elas w/ condyle pads & jo |
312 |
292 |
$22K |
| L1930 |
Afo plastic |
73 |
70 |
$20K |
| L4387 |
Non-pneum walk boot pre ots |
134 |
123 |
$13K |
| E0114 |
Crutch underarm pair no wood |
190 |
175 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
47 |
44 |
$2K |