| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
674 |
621 |
$99K |
| E0114 |
Crutch underarm pair no wood |
1,973 |
1,921 |
$90K |
| L3670 |
So acro/clav can web pre ots |
708 |
690 |
$60K |
| L3660 |
So 8 ab rstr can/web pre ots |
528 |
502 |
$44K |
| L3908 |
Who cock-up nonmolde pre ots |
963 |
873 |
$43K |
| L4360 |
Pneumat walking boot pre cst |
129 |
126 |
$29K |
| L3260 |
Ambulatory surgical boot eac |
702 |
638 |
$26K |
| L1820 |
Ko elas w/ condyle pads & jo |
94 |
83 |
$9K |
| L1830 |
Ko immob canvas long pre ots |
119 |
109 |
$8K |
| L0621 |
Sio flex pelvic/sacr pre ots |
57 |
54 |
$5K |
| L1902 |
Afo ankle gauntlet pre ots |
67 |
57 |
$4K |
| L3809 |
Whfo w/o joints pre ots |
46 |
42 |
$4K |