| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
744 |
692 |
$171K |
| L3670 |
So acro/clav can web pre ots |
701 |
668 |
$60K |
| L3908 |
Who cock-up nonmolde pre ots |
879 |
762 |
$41K |
| L3809 |
Whfo w/o joints pre ots |
138 |
131 |
$28K |
| E0114 |
Crutch underarm pair no wood |
466 |
447 |
$22K |
| L1833 |
Ko adj jnt pos r sup pre ots |
27 |
25 |
$14K |
| L3660 |
So 8 ab rstr can/web pre ots |
15 |
14 |
$1K |
| L1902 |
Afo ankle gauntlet pre ots |
13 |
13 |
$809.08 |
| A4467 |
Belt strap sleev grmnt cover |
14 |
12 |
$545.12 |
| L3260 |
Ambulatory surgical boot eac |
27 |
24 |
$360.77 |