| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
358 |
357 |
$72K |
| L3908 |
Who cock-up nonmolde pre ots |
1,273 |
1,208 |
$59K |
| L3020 |
Foot longitud/metatarsal sup |
251 |
199 |
$54K |
| L4386 |
Non-pneum walk boot pre cst |
474 |
455 |
$45K |
| L1902 |
Afo ankle gauntlet pre ots |
355 |
340 |
$19K |
| A6530 |
Compression stocking bk18-30 |
156 |
142 |
$12K |
| L1820 |
Ko elas w/ condyle pads & jo |
149 |
144 |
$12K |
| L4387 |
Non-pneum walk boot pre ots |
80 |
78 |
$8K |
| A5500 |
Diab shoe for density insert |
187 |
110 |
$7K |
| L3334 |
Shoe lifts elevation heel /i |
95 |
95 |
$3K |
| L2820 |
Soft interface below knee se |
31 |
28 |
$3K |
| L3216 |
Orthoped ladies shoes dpth i |
35 |
24 |
$3K |
| L3807 |
Whfo w/o joints pre cst |
14 |
13 |
$2K |
| A5512 |
Multi den insert direct form |
39 |
24 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
16 |
15 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
69 |
63 |
$961.63 |
| E0114 |
Crutch underarm pair no wood |
14 |
14 |
$495.30 |
| E0100 |
Cane adjust/fixed with tip |
19 |
17 |
$287.87 |