| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,556 |
1,327 |
$192K |
| L3908 |
Who cock-up nonmolde pre ots |
1,718 |
1,392 |
$52K |
| L3660 |
So 8 ab rstr can/web pre ots |
840 |
696 |
$47K |
| E0114 |
Crutch underarm pair no wood |
2,044 |
1,792 |
$45K |
| L3809 |
Whfo w/o joints pre ots |
295 |
268 |
$27K |
| L4350 |
Ankle control ortho pre ots |
521 |
450 |
$21K |
| L1902 |
Afo ankle gauntlet pre ots |
167 |
148 |
$6K |
| L1830 |
Ko immob canvas long pre ots |
70 |
64 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
134 |
133 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
246 |
206 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
16 |
14 |
$885.02 |
| A4565 |
Slings |
58 |
57 |
$337.69 |