| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
3,789 |
3,352 |
$412K |
| E0114 |
Crutch underarm pair no wood |
3,344 |
3,259 |
$149K |
| L3908 |
Who cock-up nonmolde pre ots |
2,973 |
2,649 |
$55K |
| L1812 |
Ko elastic w/joints pre ots |
898 |
789 |
$51K |
| L1902 |
Afo ankle gauntlet pre ots |
704 |
684 |
$33K |
| E0570 |
Nebulizer with compression |
1,405 |
1,386 |
$27K |
| L1830 |
Ko immob canvas long pre ots |
367 |
352 |
$20K |
| L1820 |
Ko elas w/ condyle pads & jo |
135 |
130 |
$13K |
| E0118 |
Crutch substitute |
216 |
174 |
$9K |
| L3982 |
Upper ext fx orthosis rad/ul |
13 |
12 |
$1K |
| A7003 |
Nebulizer administration set |
84 |
84 |
$164.70 |