| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
68,854 |
66,833 |
$12.89M |
| L3809 |
Whfo w/o joints pre ots |
45,432 |
42,915 |
$6.11M |
| L1833 |
Ko adj jnt pos r sup pre ots |
15,774 |
15,262 |
$5.96M |
| L3660 |
So 8 ab rstr can/web pre ots |
110,810 |
107,845 |
$5.92M |
| S1040 |
Cranial remolding orthosis |
2,338 |
2,293 |
$5.57M |
| E0114 |
Crutch underarm pair no wood |
132,408 |
129,919 |
$4.15M |
| L3908 |
Who cock-up nonmolde pre ots |
82,250 |
74,578 |
$3.23M |
| L1830 |
Ko immob canvas long pre ots |
36,618 |
35,551 |
$2.11M |
| L4350 |
Ankle control ortho pre ots |
28,498 |
27,864 |
$1.72M |
| L3670 |
So acro/clav can web pre ots |
22,960 |
22,136 |
$1.59M |
| E0143 |
Walker folding wheeled w/o s |
32,252 |
30,659 |
$1.41M |
| L1820 |
Ko elas w/ condyle pads & jo |
17,392 |
16,561 |
$1.30M |
| L4387 |
Non-pneum walk boot pre ots |
9,325 |
9,073 |
$1.01M |
| L1852 |
Ko double upright prefab ots |
1,630 |
1,540 |
$824K |
| L1906 |
Afo multilig ank sup pre ots |
10,162 |
9,803 |
$768K |
| L3260 |
Ambulatory surgical boot eac |
26,823 |
25,154 |
$641K |
| L1902 |
Afo ankle gauntlet pre ots |
8,944 |
8,518 |
$545K |
| L3000 |
Ft insert ucb berkeley shell |
1,431 |
906 |
$398K |
| L1812 |
Ko elastic w/joints pre ots |
6,214 |
5,692 |
$396K |
| L0464 |
Tlso 4mod sacro-scap pre |
730 |
695 |
$392K |
| L5673 |
Socket insert w lock mech |
609 |
550 |
$374K |
| L3982 |
Upper ext fx orthosis rad/ul |
1,300 |
1,231 |
$304K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
1,971 |
1,845 |
$294K |
| L1851 |
Ko single upright prefab ots |
550 |
482 |
$268K |
| L1970 |
Afo plastic molded w/ankle j |
829 |
650 |
$265K |
| L2112 |
Afo tibial fracture soft |
758 |
722 |
$254K |
| L2820 |
Soft interface below knee se |
4,743 |
3,849 |
$231K |
| L0172 |
Cerv col sr foam 2pc pre ots |
3,579 |
3,497 |
$229K |
| L2425 |
Knee disc/dial lock/adj flex |
2,310 |
2,228 |
$219K |
| L2275 |
Plastic mod low ext pad/line |
2,911 |
2,140 |
$196K |
| A5500 |
Diab shoe for density insert |
5,255 |
2,826 |
$189K |
| L4397 |
Static or dynami afo pre ots |
1,942 |
1,803 |
$188K |
| L3761 |
Eo, adj lock joint prefab ot |
617 |
605 |
$140K |
| L3650 |
So 8 abd restraint pre ots |
4,547 |
4,399 |
$139K |
| A5513 |
Multi den insert custom mold |
4,565 |
2,591 |
$131K |
| L3984 |
Upper ext fx orthosis wrist |
437 |
431 |
$109K |
| L5301 |
Bk mold socket sach ft endo |
75 |
64 |
$100K |
| L3924 |
Hfo without joints pre ots |
1,994 |
1,670 |
$98K |
| L5940 |
Endo bk ultra-light material |
397 |
344 |
$95K |
| L5671 |
Bk/ak locking mechanism |
321 |
287 |
$91K |
| L3760 |
Eo adj jt prefab custom fit |
353 |
348 |
$84K |
| E0935 |
Cont pas motion exercise dev |
476 |
441 |
$81K |
| L1940 |
Afo molded to patient plasti |
422 |
330 |
$80K |
| L5637 |
Below knee total contact |
546 |
484 |
$74K |
| L5620 |
Test socket below knee |
463 |
403 |
$69K |
| L2999 |
Lower extremity orthosis nos |
970 |
813 |
$61K |
| L3807 |
Whfo w/o joints pre cst |
419 |
384 |
$56K |
| E0100 |
Cane adjust/fixed with tip |
4,733 |
4,580 |
$56K |
| L3980 |
Up ext fx orthos humeral nos |
342 |
329 |
$54K |
| L2830 |
Soft interface above knee se |
994 |
902 |
$52K |
| L1960 |
Afo pos solid ank plastic mo |
178 |
141 |
$52K |
| L5629 |
Below knee acrylic socket |
440 |
383 |
$51K |
| L0651 |
Lso sag-co shell pnl pre ots |
110 |
105 |
$49K |
| L0120 |
Cerv flex n/adj foam pre ots |
2,856 |
2,710 |
$48K |
| L0140 |
Cervical semi-rigid adjustab |
1,385 |
1,365 |
$47K |
| L2280 |
Molded inner boot |
171 |
109 |
$46K |
| L5910 |
Endo below knee alignable sy |
294 |
255 |
$41K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
199 |
192 |
$40K |
| L8420 |
Prosthetic sock multi ply bk |
968 |
709 |
$40K |
| L1845 |
Ko double upright pre cst |
73 |
72 |
$38K |
| A4467 |
Belt strap sleev grmnt cover |
1,638 |
1,518 |
$36K |
| L2810 |
Knee control condylar pad |
635 |
589 |
$33K |
| L3999 |
Upper limb orthosis nos |
914 |
828 |
$30K |
| L2397 |
Suspension sleeve lower ext |
350 |
336 |
$29K |
| L0180 |
Cer post col occ/man sup adj |
132 |
128 |
$27K |
| L0639 |
Lso s/c shell/panel prefab |
43 |
43 |
$27K |
| L5645 |
Bk flex inner socket ext fra |
71 |
55 |
$24K |
| L5000 |
Sho insert w arch toe filler |
100 |
92 |
$21K |
| E0149 |
Heavy duty wheeled walker |
200 |
188 |
$21K |
| L2330 |
Lacer molded to patient mode |
81 |
76 |
$19K |
| A4565 |
Slings |
1,566 |
1,522 |
$13K |
| L4360 |
Pneumat walking boot pre cst |
55 |
50 |
$12K |
| L5679 |
Socket insert w/o lock mech |
13 |
12 |
$11K |
| L2270 |
Varus/valgus strap padded/li |
363 |
223 |
$10K |
| L1810 |
Ko elastic with joints |
83 |
77 |
$7K |
| L3202 |
Oxford w/ supinat/pronator c |
120 |
77 |
$7K |
| E0936 |
Cpm device, other than knee |
54 |
54 |
$6K |
| E1399 |
Durable medical equipment mi |
610 |
521 |
$6K |
| L8470 |
Pros sock single ply bk |
359 |
314 |
$6K |
| A4570 |
Splint |
623 |
615 |
$5K |
| L2220 |
Dorsi & plantar flex ass/res |
88 |
70 |
$5K |
| L8400 |
Sheath below knee |
110 |
92 |
$5K |
| L4386 |
Non-pneum walk boot pre cst |
42 |
42 |
$4K |
| L0150 |
Cerv semi-rig adj molded chn |
67 |
67 |
$4K |
| L4396 |
Static or dynami afo pre cst |
46 |
41 |
$4K |
| L3762 |
Eo rigid w/o joints pre ots |
69 |
52 |
$4K |
| L1930 |
Afo plastic |
18 |
14 |
$4K |
| L8440 |
Shrinker below knee |
91 |
76 |
$3K |
| E0188 |
Synthetic sheepskin pad |
179 |
170 |
$3K |
| L3350 |
Shoe heel wedge |
366 |
266 |
$3K |
| L2755 |
Carbon graphite lamination |
30 |
26 |
$3K |
| L3030 |
Foot arch support remov prem |
33 |
29 |
$3K |
| L1832 |
Ko adj jnt pos r sup pre cst |
15 |
15 |
$3K |
| L5972 |
Flexible keel foot |
12 |
12 |
$2K |
| L3995 |
Sock fracture or equal each |
98 |
97 |
$2K |
| L0621 |
Sio flex pelvic/sacr pre ots |
24 |
24 |
$2K |
| L5685 |
Below knee sus/seal sleeve |
14 |
12 |
$2K |
| L3060 |
Foot arch supp longitud/meta |
21 |
13 |
$1K |
| E0156 |
Walker seat attachment |
85 |
72 |
$658.76 |
| A4566 |
Should sling/vest/abrestrain |
13 |
13 |
$51.63 |
| A4637 |
Repl tip cane/crutch/walker |
169 |
149 |
$37.26 |