| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
3,830 |
3,687 |
$670K |
| L3809 |
Whfo w/o joints pre ots |
3,994 |
3,819 |
$513K |
| L3660 |
So 8 ab rstr can/web pre ots |
6,623 |
6,423 |
$459K |
| L4350 |
Ankle control ortho pre ots |
5,077 |
4,907 |
$300K |
| L3908 |
Who cock-up nonmolde pre ots |
6,974 |
6,312 |
$295K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,886 |
1,802 |
$158K |
| E0114 |
Crutch underarm pair no wood |
4,338 |
4,116 |
$131K |
| L1830 |
Ko immob canvas long pre ots |
2,198 |
2,129 |
$123K |
| L4387 |
Non-pneum walk boot pre ots |
710 |
689 |
$55K |
| L3260 |
Ambulatory surgical boot eac |
4,132 |
3,874 |
$46K |
| L1821 |
Ko elas w/ condyle pads otf |
36 |
30 |
$4K |
| L1902 |
Afo ankle gauntlet pre ots |
37 |
37 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
52 |
50 |
$597.05 |