| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Plastic mod low ext pad/line |
308 |
241 |
$37K |
| L3020 |
Foot longitud/metatarsal sup |
140 |
100 |
$25K |
| L2820 |
Soft interface below knee se |
154 |
125 |
$12K |
| L3908 |
Who cock-up nonmolde pre ots |
205 |
187 |
$10K |
| A6530 |
Compression stocking bk18-30 |
98 |
95 |
$8K |
| L4361 |
Pneuma/vac walk boot pre ots |
48 |
46 |
$7K |
| L1960 |
Afo pos solid ank plastic mo |
16 |
12 |
$6K |
| A6533 |
Gc stocking thighlngth 18-30 |
35 |
35 |
$4K |
| L2270 |
Varus/valgus strap padded/li |
64 |
52 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
12 |
12 |
$1K |
| A5500 |
Diab shoe for density insert |
13 |
12 |
$734.38 |