| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
So acro/clav can web pre ots |
3,320 |
3,301 |
$214K |
| E0114 |
Crutch underarm pair no wood |
4,921 |
4,908 |
$145K |
| L3809 |
Whfo w/o joints pre ots |
930 |
924 |
$129K |
| L4350 |
Ankle control ortho pre ots |
1,610 |
1,604 |
$108K |
| L3908 |
Who cock-up nonmolde pre ots |
1,891 |
1,814 |
$82K |
| L1830 |
Ko immob canvas long pre ots |
1,554 |
1,551 |
$81K |
| L1902 |
Afo ankle gauntlet pre ots |
289 |
288 |
$14K |
| L4361 |
Pneuma/vac walk boot pre ots |
80 |
80 |
$12K |
| L4360 |
Pneumat walking boot pre cst |
51 |
51 |
$9K |
| L3807 |
Whfo w/o joints pre cst |
13 |
13 |
$2K |