| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
34,659 |
34,095 |
$7.02M |
| L1833 |
Ko adj jnt pos r sup pre ots |
3,621 |
3,543 |
$1.51M |
| L3908 |
Who cock-up nonmolde pre ots |
34,225 |
31,075 |
$1.48M |
| L4350 |
Ankle control ortho pre ots |
22,898 |
22,667 |
$1.47M |
| L3660 |
So 8 ab rstr can/web pre ots |
20,163 |
19,906 |
$1.47M |
| L3809 |
Whfo w/o joints pre ots |
12,740 |
12,282 |
$1.08M |
| E0114 |
Crutch underarm pair no wood |
41,322 |
41,125 |
$1.06M |
| L1820 |
Ko elas w/ condyle pads & jo |
9,254 |
8,715 |
$753K |
| L1830 |
Ko immob canvas long pre ots |
12,676 |
12,407 |
$602K |
| L1902 |
Afo ankle gauntlet pre ots |
7,808 |
7,526 |
$391K |
| L1852 |
Ko double upright prefab ots |
815 |
787 |
$366K |
| E0143 |
Walker folding wheeled w/o s |
8,662 |
8,533 |
$335K |
| L3984 |
Upper ext fx orthosis wrist |
1,139 |
1,124 |
$256K |
| L1812 |
Ko elastic w/joints pre ots |
4,251 |
3,866 |
$230K |
| L4387 |
Non-pneum walk boot pre ots |
1,711 |
1,690 |
$166K |
| L2112 |
Afo tibial fracture soft |
550 |
547 |
$119K |
| L3924 |
Hfo without joints pre ots |
3,176 |
2,749 |
$108K |
| L3670 |
So acro/clav can web pre ots |
1,912 |
1,897 |
$104K |
| L4397 |
Static or dynami afo pre ots |
1,120 |
1,028 |
$95K |
| L3260 |
Ambulatory surgical boot eac |
6,591 |
6,441 |
$93K |
| E0100 |
Cane adjust/fixed with tip |
5,144 |
5,092 |
$46K |
| E0135 |
Walker folding adjust/fixed |
863 |
832 |
$23K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
94 |
94 |
$20K |
| E0935 |
Cont pas motion exercise dev |
99 |
41 |
$10K |
| L0120 |
Cerv flex n/adj foam pre ots |
817 |
797 |
$9K |
| L3761 |
Eo, adj lock joint prefab ot |
37 |
37 |
$9K |
| A4467 |
Belt strap sleev grmnt cover |
345 |
311 |
$5K |
| L3923 |
Hfo without joints pre cst |
115 |
94 |
$5K |
| L1930 |
Afo plastic |
28 |
24 |
$3K |
| L2820 |
Soft interface below knee se |
42 |
41 |
$3K |
| A4565 |
Slings |
388 |
388 |
$2K |
| E0188 |
Synthetic sheepskin pad |
80 |
80 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
12 |
12 |
$1K |
| L3995 |
Sock fracture or equal each |
38 |
37 |
$1K |
| L1821 |
Ko elas w/ condyle pads otf |
14 |
13 |
$0.00 |