| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0631 |
Lso sag r an/pos pnl pre cst |
708 |
668 |
$444K |
| L4360 |
Pneumat walking boot pre cst |
782 |
754 |
$119K |
| L1832 |
Ko adj jnt pos r sup pre cst |
63 |
55 |
$26K |
| L3931 |
Whfo nontorsion joint prefab |
208 |
202 |
$24K |
| L3908 |
Who cock-up nonmolde pre ots |
1,022 |
955 |
$16K |
| L1820 |
Ko elas w/ condyle pads & jo |
245 |
236 |
$12K |
| L1902 |
Afo ankle gauntlet pre ots |
96 |
92 |
$3K |
| L3670 |
So acro/clav can web pre ots |
60 |
55 |
$3K |
| E0114 |
Crutch underarm pair no wood |
94 |
87 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
16 |
15 |
$1K |
| L4350 |
Ankle control ortho pre ots |
13 |
12 |
$637.48 |