| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
605 |
536 |
$108K |
| L4360 |
Pneumat walking boot pre cst |
417 |
357 |
$79K |
| E0143 |
Walker folding wheeled w/o s |
1,282 |
1,081 |
$57K |
| L3908 |
Who cock-up nonmolde pre ots |
1,772 |
1,372 |
$53K |
| E0114 |
Crutch underarm pair no wood |
1,939 |
1,699 |
$46K |
| L4350 |
Ankle control ortho pre ots |
225 |
180 |
$7K |
| L3650 |
So 8 abd restraint pre ots |
126 |
107 |
$4K |
| L1902 |
Afo ankle gauntlet pre ots |
56 |
52 |
$3K |
| L3807 |
Whfo w/o joints pre cst |
28 |
27 |
$2K |
| L3660 |
So 8 ab rstr can/web pre ots |
32 |
26 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
20 |
16 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
14 |
12 |
$771.01 |
| L3809 |
Whfo w/o joints pre ots |
16 |
13 |
$650.06 |