| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
248 |
243 |
$57K |
| L2840 |
Tibial length sock fx or equ |
189 |
95 |
$34K |
| L3020 |
Foot longitud/metatarsal sup |
137 |
70 |
$25K |
| L2280 |
Molded inner boot |
19 |
13 |
$9K |
| L3908 |
Who cock-up nonmolde pre ots |
141 |
134 |
$7K |
| L2275 |
Plastic mod low ext pad/line |
32 |
29 |
$6K |
| A5514 |
Mult den insert dir carv/cam |
89 |
38 |
$4K |
| L2270 |
Varus/valgus strap padded/li |
45 |
27 |
$4K |
| L1902 |
Afo ankle gauntlet pre ots |
46 |
40 |
$3K |
| A5500 |
Diab shoe for density insert |
96 |
40 |
$2K |
| L3202 |
Oxford w/ supinat/pronator c |
47 |
25 |
$2K |
| L2820 |
Soft interface below knee se |
22 |
14 |
$2K |