| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,769 |
1,737 |
$324K |
| E0114 |
Crutch underarm pair no wood |
2,549 |
2,451 |
$129K |
| L3809 |
Whfo w/o joints pre ots |
672 |
656 |
$112K |
| L3670 |
So acro/clav can web pre ots |
1,306 |
1,270 |
$102K |
| L1833 |
Ko adj jnt pos r sup pre ots |
178 |
177 |
$64K |
| L3908 |
Who cock-up nonmolde pre ots |
1,462 |
1,350 |
$52K |
| L1902 |
Afo ankle gauntlet pre ots |
401 |
398 |
$30K |
| L1812 |
Ko elastic w/joints pre ots |
252 |
249 |
$14K |
| L1830 |
Ko immob canvas long pre ots |
152 |
151 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
71 |
71 |
$5K |
| L1820 |
Ko elas w/ condyle pads & jo |
27 |
26 |
$3K |
| A4565 |
Slings |
330 |
253 |
$832.94 |
| L3260 |
Ambulatory surgical boot eac |
63 |
43 |
$179.62 |