| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,786 |
1,658 |
$130K |
| L3670 |
So acro/clav can web pre ots |
1,735 |
1,631 |
$48K |
| E0114 |
Crutch underarm pair no wood |
2,250 |
2,131 |
$39K |
| L3809 |
Whfo w/o joints pre ots |
527 |
489 |
$26K |
| L3908 |
Who cock-up nonmolde pre ots |
1,326 |
1,195 |
$23K |
| L1833 |
Ko adj jnt pos r sup pre ots |
113 |
105 |
$12K |
| L1902 |
Afo ankle gauntlet pre ots |
394 |
364 |
$11K |
| L1830 |
Ko immob canvas long pre ots |
168 |
156 |
$4K |
| L1812 |
Ko elastic w/joints pre ots |
172 |
149 |
$3K |
| L4350 |
Ankle control ortho pre ots |
41 |
39 |
$1K |