| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
5,035 |
4,696 |
$750K |
| L4387 |
Non-pneum walk boot pre ots |
5,750 |
5,371 |
$507K |
| L3908 |
Who cock-up nonmolde pre ots |
15,720 |
13,958 |
$446K |
| L1902 |
Afo ankle gauntlet pre ots |
8,749 |
8,228 |
$337K |
| E0114 |
Crutch underarm pair no wood |
11,899 |
11,380 |
$311K |
| L1820 |
Ko elas w/ condyle pads & jo |
4,108 |
3,759 |
$297K |
| L3924 |
Hfo without joints pre ots |
6,203 |
5,646 |
$257K |
| E0570 |
Nebulizer with compression |
4,030 |
3,825 |
$191K |
| L1833 |
Ko adj jnt pos r sup pre ots |
279 |
263 |
$77K |
| L3809 |
Whfo w/o joints pre ots |
591 |
563 |
$74K |
| L1830 |
Ko immob canvas long pre ots |
2,597 |
2,443 |
$71K |
| L3260 |
Ambulatory surgical boot eac |
8,259 |
7,682 |
$68K |
| L4350 |
Ankle control ortho pre ots |
2,174 |
2,076 |
$60K |
| L3670 |
So acro/clav can web pre ots |
1,492 |
1,383 |
$55K |
| A4565 |
Slings |
8,803 |
8,584 |
$50K |
| L4360 |
Pneumat walking boot pre cst |
942 |
924 |
$50K |
| A7005 |
Nondisposable nebulizer set |
4,028 |
3,823 |
$48K |
| E0143 |
Walker folding wheeled w/o s |
1,389 |
1,286 |
$32K |
| A4467 |
Belt strap sleev grmnt cover |
4,343 |
4,099 |
$28K |
| L3923 |
Hfo without joints pre cst |
775 |
745 |
$6K |
| L0140 |
Cervical semi-rigid adjustab |
251 |
240 |
$6K |
| L1850 |
Ko swedish type pre ots |
49 |
42 |
$4K |
| L3807 |
Whfo w/o joints pre cst |
113 |
103 |
$3K |
| L1812 |
Ko elastic w/joints pre ots |
46 |
40 |
$3K |
| L4386 |
Non-pneum walk boot pre cst |
115 |
114 |
$3K |
| L2200 |
Limited ankle motion ea jnt |
296 |
220 |
$3K |
| L2795 |
Knee control full kneecap |
228 |
200 |
$640.77 |
| E1399 |
Durable medical equipment mi |
14 |
13 |
$30.90 |
| L3927 |
Fo pip dip no jt spr pre ots |
40 |
38 |
$12.59 |