| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
8,757 |
7,954 |
$1.65M |
| L3809 |
Whfo w/o joints pre ots |
5,578 |
5,048 |
$827K |
| L1820 |
Ko elas w/ condyle pads & jo |
5,129 |
4,600 |
$472K |
| E0114 |
Crutch underarm pair no wood |
5,540 |
5,050 |
$199K |
| L3908 |
Who cock-up nonmolde pre ots |
4,736 |
4,232 |
$187K |
| L1902 |
Afo ankle gauntlet pre ots |
1,827 |
1,665 |
$104K |
| L4350 |
Ankle control ortho pre ots |
1,649 |
1,495 |
$100K |
| L3650 |
So 8 abd restraint pre ots |
733 |
681 |
$27K |
| L3670 |
So acro/clav can web pre ots |
344 |
306 |
$21K |
| L4387 |
Non-pneum walk boot pre ots |
180 |
156 |
$17K |
| L1830 |
Ko immob canvas long pre ots |
370 |
332 |
$17K |
| L3924 |
Hfo without joints pre ots |
18 |
13 |
$812.80 |