| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Ko adj jnt pos r sup pre ots |
254 |
248 |
$170K |
| L4361 |
Pneuma/vac walk boot pre ots |
749 |
734 |
$152K |
| L4386 |
Non-pneum walk boot pre cst |
844 |
833 |
$130K |
| L3908 |
Who cock-up nonmolde pre ots |
2,437 |
2,146 |
$106K |
| L3809 |
Whfo w/o joints pre ots |
400 |
391 |
$79K |
| L1812 |
Ko elastic w/joints pre ots |
670 |
607 |
$75K |
| L1902 |
Afo ankle gauntlet pre ots |
875 |
835 |
$59K |
| L2795 |
Knee control full kneecap |
619 |
563 |
$43K |
| L1820 |
Ko elas w/ condyle pads & jo |
365 |
342 |
$32K |
| L4360 |
Pneumat walking boot pre cst |
130 |
127 |
$31K |
| E0114 |
Crutch underarm pair no wood |
436 |
434 |
$22K |
| L3260 |
Ambulatory surgical boot eac |
551 |
512 |
$17K |
| L1830 |
Ko immob canvas long pre ots |
165 |
159 |
$15K |
| A4565 |
Slings |
338 |
334 |
$3K |
| L3660 |
So 8 ab rstr can/web pre ots |
33 |
32 |
$3K |