| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
909 |
861 |
$182K |
| L3020 |
Foot longitud/metatarsal sup |
631 |
542 |
$162K |
| A5513 |
Multi den insert custom mold |
1,160 |
880 |
$140K |
| A5500 |
Diab shoe for density insert |
1,132 |
886 |
$97K |
| L2275 |
Plastic mod low ext pad/line |
609 |
493 |
$95K |
| L2820 |
Soft interface below knee se |
618 |
508 |
$70K |
| L3908 |
Who cock-up nonmolde pre ots |
421 |
373 |
$26K |
| L1820 |
Ko elas w/ condyle pads & jo |
217 |
204 |
$25K |
| L2280 |
Molded inner boot |
29 |
24 |
$18K |
| A6533 |
Gc stocking thighlngth 18-30 |
182 |
138 |
$12K |
| A6530 |
Compression stocking bk18-30 |
98 |
87 |
$7K |
| L3206 |
Hightop w/ supp/pronator chi |
127 |
82 |
$6K |
| L1902 |
Afo ankle gauntlet pre ots |
92 |
89 |
$6K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
12 |
12 |
$3K |
| L3807 |
Whfo w/o joints pre cst |
12 |
12 |
$3K |