| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
13,346 |
12,533 |
$1.73M |
| L3809 |
Whfo w/o joints pre ots |
7,728 |
7,132 |
$753K |
| L1820 |
Ko elas w/ condyle pads & jo |
7,429 |
6,654 |
$395K |
| L3908 |
Who cock-up nonmolde pre ots |
12,918 |
11,277 |
$339K |
| L1833 |
Ko adj jnt pos r sup pre ots |
958 |
901 |
$288K |
| L3670 |
So acro/clav can web pre ots |
5,022 |
4,885 |
$274K |
| L1902 |
Afo ankle gauntlet pre ots |
5,313 |
5,000 |
$229K |
| E0114 |
Crutch underarm pair no wood |
7,295 |
6,909 |
$204K |
| L1830 |
Ko immob canvas long pre ots |
1,494 |
1,394 |
$61K |
| L4360 |
Pneumat walking boot pre cst |
782 |
754 |
$59K |
| L4350 |
Ankle control ortho pre ots |
1,589 |
1,469 |
$56K |
| L4387 |
Non-pneum walk boot pre ots |
706 |
682 |
$53K |
| L3924 |
Hfo without joints pre ots |
955 |
817 |
$40K |
| L2795 |
Knee control full kneecap |
565 |
495 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
131 |
128 |
$8K |
| E0100 |
Cane adjust/fixed with tip |
115 |
109 |
$2K |
| L3762 |
Eo rigid w/o joints pre ots |
29 |
28 |
$1K |
| L1812 |
Ko elastic w/joints pre ots |
18 |
18 |
$1K |
| L2999 |
Lower extremity orthosis nos |
19 |
15 |
$107.43 |