| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0643 |
Lso sag ctr rigi pos pre ots |
1,470 |
1,467 |
$264K |
| L3908 |
Who cock-up nonmolde pre ots |
2,638 |
2,002 |
$211K |
| L4361 |
Pneuma/vac walk boot pre ots |
446 |
444 |
$179K |
| L3809 |
Whfo w/o joints pre ots |
189 |
160 |
$63K |
| A5500 |
Diab shoe for density insert |
635 |
319 |
$56K |
| L3020 |
Foot longitud/metatarsal sup |
132 |
71 |
$19K |
| A5513 |
Multi den insert custom mold |
178 |
98 |
$16K |
| L2820 |
Soft interface below knee se |
32 |
24 |
$5K |
| L1906 |
Afo multilig ank sup pre ots |
26 |
24 |
$4K |
| L1812 |
Ko elastic w/joints pre ots |
33 |
31 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
18 |
14 |
$1K |