| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
835 |
753 |
$132K |
| L1833 |
Ko adj jnt pos r sup pre ots |
184 |
147 |
$68K |
| L3908 |
Who cock-up nonmolde pre ots |
790 |
721 |
$24K |
| L3984 |
Upper ext fx orthosis wrist |
91 |
83 |
$18K |
| L1902 |
Afo ankle gauntlet pre ots |
284 |
264 |
$12K |
| L3660 |
So 8 ab rstr can/web pre ots |
160 |
145 |
$8K |
| E0114 |
Crutch underarm pair no wood |
105 |
98 |
$4K |
| L1812 |
Ko elastic w/joints pre ots |
57 |
53 |
$4K |
| L4386 |
Non-pneum walk boot pre cst |
30 |
27 |
$3K |
| L3995 |
Sock fracture or equal each |
28 |
25 |
$484.08 |
| L0637 |
Lso sc r ant/pos pnl pre cst |
14 |
14 |
$0.00 |