| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
3,835 |
3,785 |
$698K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,491 |
1,437 |
$616K |
| L3670 |
So acro/clav can web pre ots |
1,608 |
1,570 |
$128K |
| L3809 |
Whfo w/o joints pre ots |
880 |
859 |
$126K |
| L3908 |
Who cock-up nonmolde pre ots |
2,422 |
2,331 |
$108K |
| L1902 |
Afo ankle gauntlet pre ots |
1,515 |
1,483 |
$84K |
| E0114 |
Crutch underarm pair no wood |
1,491 |
1,473 |
$50K |
| L1812 |
Ko elastic w/joints pre ots |
704 |
690 |
$47K |
| L1906 |
Afo multilig ank sup pre ots |
770 |
752 |
$39K |
| E0143 |
Walker folding wheeled w/o s |
164 |
161 |
$13K |
| L3984 |
Upper ext fx orthosis wrist |
116 |
114 |
$12K |
| L4350 |
Ankle control ortho pre ots |
184 |
183 |
$10K |
| L1830 |
Ko immob canvas long pre ots |
94 |
94 |
$6K |
| L1820 |
Ko elas w/ condyle pads & jo |
81 |
81 |
$4K |
| L3924 |
Hfo without joints pre ots |
38 |
37 |
$3K |
| L3000 |
Ft insert ucb berkeley shell |
20 |
12 |
$1K |
| L3660 |
So 8 ab rstr can/web pre ots |
13 |
13 |
$1K |
| A4565 |
Slings |
134 |
132 |
$956.56 |
| A5500 |
Diab shoe for density insert |
15 |
12 |
$416.96 |
| A5514 |
Mult den insert dir carv/cam |
15 |
12 |
$396.67 |