| Code | Description | Claims | Beneficiaries | Total Paid |
| E1810 |
Adjust knee ext & flex dev |
66,968 |
49,662 |
$5.86M |
| E1800 |
Adjust elbow ext & flex dev |
31,672 |
23,132 |
$2.60M |
| E1815 |
Adjust ankle ext & flex dev |
32,138 |
20,195 |
$2.33M |
| E1805 |
Adjust wrist ext & flex dev |
33,209 |
24,086 |
$2.06M |
| E1825 |
Adjust finger ext & flex dev |
7,829 |
5,579 |
$639K |
| E1840 |
Adj shoulder ext/flex device |
3,745 |
2,915 |
$636K |
| E1802 |
Adjst forearm pro/sup device |
2,027 |
1,690 |
$460K |
| E1830 |
Adjust toe ext & flex device |
2,430 |
1,718 |
$184K |
| L3809 |
Whfo w/o joints pre ots |
2,284 |
1,563 |
$173K |
| L3924 |
Hfo without joints pre ots |
2,720 |
1,844 |
$62K |
| L1971 |
Afo w/ankle joint, prefab |
289 |
166 |
$39K |
| L3761 |
Eo, adj lock joint prefab ot |
250 |
177 |
$34K |
| L1831 |
Knee orth pos locking joint |
178 |
115 |
$19K |
| L4397 |
Static or dynami afo pre ots |
303 |
192 |
$19K |
| E1399 |
Durable medical equipment mi |
29 |
26 |
$4K |
| L3760 |
Eo adj jt prefab custom fit |
19 |
13 |
$2K |