| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
3,384 |
2,800 |
$661K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,617 |
2,268 |
$526K |
| E0114 |
Crutch underarm pair no wood |
8,965 |
7,714 |
$277K |
| L3908 |
Who cock-up nonmolde pre ots |
6,517 |
5,121 |
$240K |
| L3809 |
Whfo w/o joints pre ots |
2,272 |
1,945 |
$180K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,804 |
1,499 |
$158K |
| E0143 |
Walker folding wheeled w/o s |
3,013 |
2,522 |
$124K |
| L4350 |
Ankle control ortho pre ots |
2,113 |
1,791 |
$123K |
| L1830 |
Ko immob canvas long pre ots |
1,626 |
1,376 |
$90K |
| L3650 |
So 8 abd restraint pre ots |
3,184 |
2,695 |
$84K |
| L1902 |
Afo ankle gauntlet pre ots |
1,444 |
1,231 |
$81K |
| L1832 |
Ko adj jnt pos r sup pre cst |
117 |
89 |
$49K |
| L3260 |
Ambulatory surgical boot eac |
1,281 |
1,044 |
$42K |
| L3807 |
Whfo w/o joints pre cst |
596 |
486 |
$35K |
| L3660 |
So 8 ab rstr can/web pre ots |
46 |
37 |
$3K |
| L4387 |
Non-pneum walk boot pre ots |
47 |
40 |
$2K |
| L1810 |
Ko elastic with joints |
15 |
12 |
$830.84 |
| L1812 |
Ko elastic w/joints pre ots |
29 |
26 |
$752.88 |
| L3923 |
Hfo without joints pre cst |
22 |
14 |
$484.25 |