| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
7,786 |
7,701 |
$1.66M |
| L3809 |
Whfo w/o joints pre ots |
3,967 |
3,926 |
$638K |
| L3670 |
So acro/clav can web pre ots |
5,822 |
5,741 |
$562K |
| E0114 |
Crutch underarm pair no wood |
12,417 |
12,345 |
$531K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,394 |
1,366 |
$512K |
| L3908 |
Who cock-up nonmolde pre ots |
8,329 |
8,169 |
$443K |
| L1830 |
Ko immob canvas long pre ots |
3,292 |
3,246 |
$197K |
| L1902 |
Afo ankle gauntlet pre ots |
2,442 |
2,423 |
$147K |
| L1812 |
Ko elastic w/joints pre ots |
2,160 |
2,125 |
$144K |
| L4350 |
Ankle control ortho pre ots |
1,782 |
1,765 |
$136K |
| L1820 |
Ko elas w/ condyle pads & jo |
808 |
801 |
$88K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
386 |
382 |
$87K |
| E0143 |
Walker folding wheeled w/o s |
1,563 |
1,558 |
$78K |
| A4575 |
Hyperbaric o2 chamber disps |
12 |
12 |
$70K |
| L3807 |
Whfo w/o joints pre cst |
271 |
264 |
$36K |
| L4387 |
Non-pneum walk boot pre ots |
156 |
154 |
$18K |
| L0172 |
Cerv col sr foam 2pc pre ots |
129 |
127 |
$13K |
| L0150 |
Cerv semi-rig adj molded chn |
67 |
67 |
$6K |
| A4467 |
Belt strap sleev grmnt cover |
761 |
749 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
196 |
193 |
$2K |
| A4565 |
Slings |
184 |
182 |
$1K |