| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3908 |
Who cock-up nonmolde pre ots |
1,665 |
1,498 |
$72K |
| L3809 |
Whfo w/o joints pre ots |
422 |
409 |
$60K |
| L4361 |
Pneuma/vac walk boot pre ots |
236 |
236 |
$37K |
| E0114 |
Crutch underarm pair no wood |
1,332 |
1,327 |
$35K |
| L4387 |
Non-pneum walk boot pre ots |
206 |
203 |
$21K |
| L3260 |
Ambulatory surgical boot eac |
395 |
389 |
$18K |
| L4350 |
Ankle control ortho pre ots |
216 |
216 |
$14K |
| L1812 |
Ko elastic w/joints pre ots |
53 |
53 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
58 |
56 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
26 |
26 |
$2K |