| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,158 |
1,115 |
$211K |
| L3670 |
So acro/clav can web pre ots |
1,858 |
1,776 |
$173K |
| L3809 |
Whfo w/o joints pre ots |
609 |
580 |
$101K |
| L3908 |
Who cock-up nonmolde pre ots |
2,232 |
1,950 |
$91K |
| E0114 |
Crutch underarm pair no wood |
1,783 |
1,744 |
$74K |
| L3807 |
Whfo w/o joints pre cst |
162 |
152 |
$32K |
| L4360 |
Pneumat walking boot pre cst |
94 |
91 |
$22K |
| L4386 |
Non-pneum walk boot pre cst |
136 |
131 |
$19K |
| L3650 |
So 8 abd restraint pre ots |
345 |
338 |
$15K |
| L1906 |
Afo multilig ank sup pre ots |
153 |
149 |
$12K |
| L1833 |
Ko adj jnt pos r sup pre ots |
32 |
27 |
$11K |
| L0621 |
Sio flex pelvic/sacr pre ots |
104 |
103 |
$10K |
| L4387 |
Non-pneum walk boot pre ots |
112 |
103 |
$8K |
| L4350 |
Ankle control ortho pre ots |
116 |
111 |
$7K |
| L1820 |
Ko elas w/ condyle pads & jo |
53 |
50 |
$4K |
| L3260 |
Ambulatory surgical boot eac |
186 |
165 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
56 |
53 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
12 |
12 |
$539.64 |