| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
So acro/clav can web pre ots |
13,617 |
13,132 |
$890K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,715 |
1,662 |
$616K |
| E0652 |
Pneum compres w/cal pressure |
213 |
211 |
$610K |
| E0114 |
Crutch underarm pair no wood |
17,225 |
16,349 |
$471K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,912 |
2,742 |
$452K |
| L1830 |
Ko immob canvas long pre ots |
4,833 |
4,600 |
$248K |
| L3809 |
Whfo w/o joints pre ots |
2,016 |
1,891 |
$246K |
| L3908 |
Who cock-up nonmolde pre ots |
4,361 |
4,034 |
$155K |
| E0667 |
Seg pneumatic appl full leg |
680 |
492 |
$152K |
| E0118 |
Crutch substitute |
370 |
370 |
$82K |
| L4350 |
Ankle control ortho pre ots |
1,671 |
1,529 |
$82K |
| E0935 |
Cont pas motion exercise dev |
337 |
331 |
$45K |
| E0651 |
Pneum compressor segmental |
110 |
109 |
$39K |
| L2397 |
Suspension sleeve lower ext |
480 |
454 |
$34K |
| E0143 |
Walker folding wheeled w/o s |
708 |
703 |
$29K |
| L2830 |
Soft interface above knee se |
450 |
436 |
$26K |
| L2820 |
Soft interface below knee se |
470 |
454 |
$24K |
| L2810 |
Knee control condylar pad |
249 |
240 |
$23K |
| L2425 |
Knee disc/dial lock/adj flex |
113 |
112 |
$12K |
| L0464 |
Tlso 4mod sacro-scap pre |
14 |
13 |
$7K |
| L1846 |
Ko w adj flex/ext rotat mold |
14 |
14 |
$6K |
| E0745 |
Neuromuscular stim for shock |
152 |
152 |
$5K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
28 |
28 |
$5K |
| L3000 |
Ft insert ucb berkeley shell |
12 |
12 |
$4K |
| L2795 |
Knee control full kneecap |
81 |
79 |
$4K |
| L2755 |
Carbon graphite lamination |
39 |
39 |
$3K |
| L4360 |
Pneumat walking boot pre cst |
18 |
16 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
18 |
18 |
$1K |
| E0189 |
Lambswool sheepskin pad |
15 |
15 |
$470.21 |