| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,346 |
1,319 |
$297K |
| L3670 |
So acro/clav can web pre ots |
2,123 |
2,071 |
$146K |
| L3908 |
Who cock-up nonmolde pre ots |
1,401 |
1,226 |
$67K |
| L3809 |
Whfo w/o joints pre ots |
460 |
435 |
$66K |
| E0114 |
Crutch underarm pair no wood |
1,581 |
1,566 |
$57K |
| E0143 |
Walker folding wheeled w/o s |
304 |
304 |
$22K |
| L1830 |
Ko immob canvas long pre ots |
324 |
318 |
$22K |
| L4350 |
Ankle control ortho pre ots |
367 |
362 |
$22K |
| L1812 |
Ko elastic w/joints pre ots |
88 |
85 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
127 |
119 |
$5K |
| L1820 |
Ko elas w/ condyle pads & jo |
26 |
25 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
15 |
14 |
$994.45 |
| L3660 |
So 8 ab rstr can/web pre ots |
13 |
13 |
$0.00 |