| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lso sc r ant/pos pnl pre ots |
298 |
293 |
$183K |
| L1844 |
Ko w/adj jt rot cntrl molded |
148 |
102 |
$85K |
| E0745 |
Neuromuscular stim for shock |
28 |
28 |
$21K |
| L3916 |
Who nontorsion jnts pre ots |
47 |
41 |
$20K |
| A4595 |
Tens suppl 2 lead per month |
76 |
75 |
$10K |
| L2397 |
Suspension sleeve lower ext |
220 |
158 |
$9K |
| L0637 |
Lso sc r ant/pos pnl pre cst |
12 |
12 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
189 |
166 |
$7K |
| L2810 |
Knee control condylar pad |
101 |
70 |
$6K |
| L2820 |
Soft interface below knee se |
85 |
70 |
$5K |
| L2830 |
Soft interface above knee se |
72 |
58 |
$5K |
| L2780 |
Non-corrosive finish |
100 |
70 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$2K |