| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
11,083 |
10,660 |
$2.00M |
| L1833 |
Ko adj jnt pos r sup pre ots |
2,128 |
2,053 |
$865K |
| L4360 |
Pneumat walking boot pre cst |
4,607 |
4,238 |
$831K |
| L1832 |
Ko adj jnt pos r sup pre cst |
1,802 |
1,623 |
$652K |
| L3960 |
Sewho airplan desig abdu pos |
1,576 |
1,504 |
$547K |
| L3908 |
Who cock-up nonmolde pre ots |
11,131 |
10,035 |
$485K |
| L3809 |
Whfo w/o joints pre ots |
2,429 |
2,313 |
$346K |
| L1820 |
Ko elas w/ condyle pads & jo |
5,510 |
5,091 |
$297K |
| L3670 |
So acro/clav can web pre ots |
3,683 |
3,452 |
$271K |
| L3982 |
Upper ext fx orthosis rad/ul |
1,623 |
1,576 |
$260K |
| L1902 |
Afo ankle gauntlet pre ots |
4,823 |
4,544 |
$252K |
| L3984 |
Upper ext fx orthosis wrist |
1,523 |
1,468 |
$188K |
| E0114 |
Crutch underarm pair no wood |
5,166 |
4,876 |
$151K |
| L1812 |
Ko elastic w/joints pre ots |
2,218 |
2,117 |
$148K |
| L3807 |
Whfo w/o joints pre cst |
897 |
828 |
$125K |
| A5513 |
Multi den insert custom mold |
2,232 |
1,310 |
$100K |
| L1906 |
Afo multilig ank sup pre ots |
1,585 |
1,519 |
$91K |
| L1852 |
Ko double upright prefab ots |
128 |
125 |
$85K |
| L3020 |
Foot longitud/metatarsal sup |
950 |
583 |
$82K |
| L3924 |
Hfo without joints pre ots |
1,319 |
1,233 |
$72K |
| A5500 |
Diab shoe for density insert |
2,033 |
1,204 |
$67K |
| L3762 |
Eo rigid w/o joints pre ots |
1,071 |
1,011 |
$66K |
| L1930 |
Afo plastic |
288 |
198 |
$56K |
| L4387 |
Non-pneum walk boot pre ots |
448 |
442 |
$50K |
| L2795 |
Knee control full kneecap |
1,019 |
930 |
$48K |
| L2397 |
Suspension sleeve lower ext |
635 |
601 |
$43K |
| L1810 |
Ko elastic with joints |
736 |
648 |
$42K |
| L3010 |
Foot longitudinal arch suppo |
236 |
187 |
$38K |
| E0935 |
Cont pas motion exercise dev |
153 |
143 |
$34K |
| L4350 |
Ankle control ortho pre ots |
467 |
432 |
$24K |
| E0143 |
Walker folding wheeled w/o s |
432 |
414 |
$22K |
| L1830 |
Ko immob canvas long pre ots |
379 |
342 |
$18K |
| L2820 |
Soft interface below knee se |
295 |
239 |
$15K |
| L1846 |
Ko w adj flex/ext rotat mold |
13 |
13 |
$11K |
| L3660 |
So 8 ab rstr can/web pre ots |
139 |
136 |
$9K |
| L3995 |
Sock fracture or equal each |
602 |
557 |
$9K |
| L3761 |
Eo, adj lock joint prefab ot |
29 |
29 |
$8K |
| L4397 |
Static or dynami afo pre ots |
58 |
55 |
$6K |
| L3923 |
Hfo without joints pre cst |
114 |
108 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
130 |
120 |
$1K |
| E0135 |
Walker folding adjust/fixed |
16 |
14 |
$425.81 |
| E0189 |
Lambswool sheepskin pad |
13 |
12 |
$43.95 |