| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4387 |
Non-pneum walk boot pre ots |
5,341 |
5,063 |
$525K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,297 |
1,224 |
$404K |
| L3670 |
So acro/clav can web pre ots |
4,954 |
4,755 |
$312K |
| L3908 |
Who cock-up nonmolde pre ots |
6,347 |
6,109 |
$215K |
| L3809 |
Whfo w/o joints pre ots |
1,563 |
1,486 |
$210K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,143 |
1,086 |
$160K |
| E0114 |
Crutch underarm pair no wood |
4,909 |
4,700 |
$131K |
| L3260 |
Ambulatory surgical boot eac |
2,388 |
2,195 |
$56K |
| L1830 |
Ko immob canvas long pre ots |
1,070 |
965 |
$49K |
| L1902 |
Afo ankle gauntlet pre ots |
821 |
771 |
$46K |
| L4386 |
Non-pneum walk boot pre cst |
244 |
231 |
$29K |
| L1812 |
Ko elastic w/joints pre ots |
426 |
395 |
$27K |
| L4350 |
Ankle control ortho pre ots |
488 |
464 |
$23K |
| L2275 |
Plastic mod low ext pad/line |
260 |
135 |
$19K |
| A4467 |
Belt strap sleev grmnt cover |
255 |
229 |
$13K |
| L2999 |
Lower extremity orthosis nos |
128 |
115 |
$9K |
| L3807 |
Whfo w/o joints pre cst |
41 |
39 |
$7K |
| L1960 |
Afo pos solid ank plastic mo |
19 |
12 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
96 |
92 |
$6K |
| L2280 |
Molded inner boot |
22 |
13 |
$5K |
| L3660 |
So 8 ab rstr can/web pre ots |
44 |
41 |
$2K |
| A4565 |
Slings |
234 |
231 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
16 |
14 |
$1K |