| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4387 |
Non-pneum walk boot pre ots |
3,024 |
2,981 |
$348K |
| L3809 |
Whfo w/o joints pre ots |
1,739 |
1,672 |
$244K |
| L3908 |
Who cock-up nonmolde pre ots |
3,027 |
2,741 |
$180K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,481 |
1,431 |
$161K |
| E0114 |
Crutch underarm pair no wood |
3,050 |
2,984 |
$140K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,702 |
1,652 |
$124K |
| L1902 |
Afo ankle gauntlet pre ots |
1,390 |
1,335 |
$101K |
| L4350 |
Ankle control ortho pre ots |
1,027 |
1,006 |
$81K |
| L3670 |
So acro/clav can web pre ots |
744 |
724 |
$62K |
| L4361 |
Pneuma/vac walk boot pre ots |
208 |
206 |
$53K |
| L1830 |
Ko immob canvas long pre ots |
327 |
319 |
$27K |
| L3807 |
Whfo w/o joints pre cst |
78 |
77 |
$9K |
| L1833 |
Ko adj jnt pos r sup pre ots |
13 |
13 |
$6K |
| L2820 |
Soft interface below knee se |
14 |
12 |
$437.40 |
| L3260 |
Ambulatory surgical boot eac |
254 |
245 |
$0.00 |