| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
867 |
861 |
$159K |
| L4360 |
Pneumat walking boot pre cst |
410 |
405 |
$80K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
83 |
83 |
$62K |
| L3809 |
Whfo w/o joints pre ots |
357 |
336 |
$61K |
| L3908 |
Who cock-up nonmolde pre ots |
1,437 |
1,338 |
$59K |
| L1833 |
Ko adj jnt pos r sup pre ots |
83 |
72 |
$40K |
| L3982 |
Upper ext fx orthosis rad/ul |
125 |
123 |
$37K |
| L1902 |
Afo ankle gauntlet pre ots |
565 |
549 |
$33K |
| E0114 |
Crutch underarm pair no wood |
725 |
721 |
$31K |
| L3660 |
So 8 ab rstr can/web pre ots |
411 |
405 |
$30K |
| L1820 |
Ko elas w/ condyle pads & jo |
170 |
168 |
$16K |
| L1812 |
Ko elastic w/joints pre ots |
92 |
89 |
$9K |
| L1810 |
Ko elastic with joints |
43 |
40 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
44 |
43 |
$2K |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$632.76 |