| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
So acro/clav can web pre ots |
8,021 |
7,115 |
$464K |
| E0114 |
Crutch underarm pair no wood |
20,268 |
17,784 |
$409K |
| L4361 |
Pneuma/vac walk boot pre ots |
3,378 |
2,680 |
$305K |
| L1830 |
Ko immob canvas long pre ots |
7,095 |
6,049 |
$290K |
| L3809 |
Whfo w/o joints pre ots |
2,805 |
2,397 |
$237K |
| L4350 |
Ankle control ortho pre ots |
4,299 |
3,855 |
$201K |
| L3908 |
Who cock-up nonmolde pre ots |
5,724 |
4,869 |
$156K |
| L3660 |
So 8 ab rstr can/web pre ots |
4,054 |
3,400 |
$84K |
| L3260 |
Ambulatory surgical boot eac |
4,631 |
4,037 |
$63K |
| E0143 |
Walker folding wheeled w/o s |
1,790 |
1,552 |
$56K |
| A4566 |
Should sling/vest/abrestrain |
2,533 |
2,369 |
$37K |
| L0172 |
Cerv col sr foam 2pc pre ots |
601 |
486 |
$30K |
| L4360 |
Pneumat walking boot pre cst |
253 |
238 |
$27K |
| L3807 |
Whfo w/o joints pre cst |
184 |
180 |
$21K |
| L0180 |
Cer post col occ/man sup adj |
237 |
172 |
$19K |
| L0625 |
Lo flex l1-below l5 pre ots |
1,139 |
882 |
$16K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
53 |
37 |
$16K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
94 |
79 |
$10K |
| L1820 |
Ko elas w/ condyle pads & jo |
112 |
109 |
$8K |
| L1833 |
Ko adj jnt pos r sup pre ots |
71 |
53 |
$6K |
| L0140 |
Cervical semi-rigid adjustab |
161 |
154 |
$5K |
| L0120 |
Cerv flex n/adj foam pre ots |
387 |
332 |
$4K |
| L4387 |
Non-pneum walk boot pre ots |
50 |
38 |
$3K |
| A4565 |
Slings |
415 |
353 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
118 |
106 |
$1K |
| L0150 |
Cerv semi-rig adj molded chn |
22 |
14 |
$379.96 |