| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
1,207 |
1,182 |
$270K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,148 |
1,116 |
$242K |
| L3908 |
Who cock-up nonmolde pre ots |
4,553 |
3,908 |
$170K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,607 |
1,525 |
$139K |
| L4350 |
Ankle control ortho pre ots |
1,668 |
1,649 |
$111K |
| E0114 |
Crutch underarm pair no wood |
2,899 |
2,887 |
$89K |
| L3809 |
Whfo w/o joints pre ots |
1,307 |
1,232 |
$67K |
| L3650 |
So 8 abd restraint pre ots |
1,888 |
1,854 |
$48K |
| L1902 |
Afo ankle gauntlet pre ots |
654 |
610 |
$33K |
| L1830 |
Ko immob canvas long pre ots |
241 |
240 |
$12K |
| L3807 |
Whfo w/o joints pre cst |
219 |
194 |
$11K |
| L3923 |
Hfo without joints pre cst |
116 |
88 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
51 |
51 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
95 |
87 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
158 |
150 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
19 |
19 |
$844.56 |
| L1812 |
Ko elastic w/joints pre ots |
13 |
12 |
$20.28 |