| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
5,976 |
5,251 |
$676K |
| L1833 |
Ko adj jnt pos r sup pre ots |
943 |
816 |
$226K |
| L3809 |
Whfo w/o joints pre ots |
2,078 |
1,782 |
$169K |
| L3670 |
So acro/clav can web pre ots |
4,936 |
4,235 |
$169K |
| E0114 |
Crutch underarm pair no wood |
8,719 |
7,519 |
$120K |
| L1812 |
Ko elastic w/joints pre ots |
2,294 |
1,946 |
$96K |
| L3982 |
Upper ext fx orthosis rad/ul |
602 |
506 |
$87K |
| L1830 |
Ko immob canvas long pre ots |
2,795 |
2,379 |
$86K |
| L3908 |
Who cock-up nonmolde pre ots |
6,264 |
5,252 |
$73K |
| L1902 |
Afo ankle gauntlet pre ots |
2,285 |
2,017 |
$60K |
| L4350 |
Ankle control ortho pre ots |
1,115 |
964 |
$43K |
| L4360 |
Pneumat walking boot pre cst |
310 |
253 |
$27K |
| E0143 |
Walker folding wheeled w/o s |
526 |
435 |
$20K |
| L2795 |
Knee control full kneecap |
940 |
767 |
$19K |
| L0172 |
Cerv col sr foam 2pc pre ots |
329 |
285 |
$8K |
| L1810 |
Ko elastic with joints |
132 |
104 |
$5K |
| L4397 |
Static or dynami afo pre ots |
68 |
50 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
82 |
71 |
$3K |
| L4387 |
Non-pneum walk boot pre ots |
49 |
37 |
$2K |
| E0135 |
Walker folding adjust/fixed |
17 |
12 |
$183.40 |
| A4565 |
Slings |
49 |
42 |
$114.24 |