| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
6,055 |
5,809 |
$991K |
| L3809 |
Whfo w/o joints pre ots |
3,144 |
2,972 |
$400K |
| L3908 |
Who cock-up nonmolde pre ots |
5,188 |
4,735 |
$182K |
| L3670 |
So acro/clav can web pre ots |
2,337 |
2,239 |
$162K |
| E0114 |
Crutch underarm pair no wood |
4,156 |
4,012 |
$114K |
| L1833 |
Ko adj jnt pos r sup pre ots |
301 |
293 |
$108K |
| L1902 |
Afo ankle gauntlet pre ots |
1,699 |
1,612 |
$80K |
| L1852 |
Ko double upright prefab ots |
146 |
140 |
$73K |
| E0570 |
Nebulizer with compression |
1,618 |
1,542 |
$73K |
| L4350 |
Ankle control ortho pre ots |
1,465 |
1,402 |
$72K |
| L1812 |
Ko elastic w/joints pre ots |
1,137 |
1,079 |
$63K |
| L1830 |
Ko immob canvas long pre ots |
1,091 |
1,040 |
$55K |
| L4387 |
Non-pneum walk boot pre ots |
572 |
552 |
$53K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,024 |
933 |
$50K |
| L3924 |
Hfo without joints pre ots |
408 |
361 |
$21K |
| L0648 |
Lso sag r an/pos pnl pre ots |
44 |
42 |
$18K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
19 |
14 |
$10K |
| L3660 |
So 8 ab rstr can/web pre ots |
41 |
40 |
$3K |
| A7003 |
Nebulizer administration set |
857 |
800 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
46 |
43 |
$656.16 |
| E0100 |
Cane adjust/fixed with tip |
25 |
25 |
$273.97 |