| Code | Description | Claims | Beneficiaries | Total Paid |
| L4361 |
Pneuma/vac walk boot pre ots |
2,447 |
2,374 |
$308K |
| E0114 |
Crutch underarm pair no wood |
4,608 |
4,591 |
$156K |
| L3670 |
So acro/clav can web pre ots |
2,941 |
2,911 |
$120K |
| E0143 |
Walker folding wheeled w/o s |
824 |
817 |
$78K |
| L3809 |
Whfo w/o joints pre ots |
581 |
572 |
$59K |
| L3908 |
Who cock-up nonmolde pre ots |
2,006 |
1,932 |
$53K |
| L1830 |
Ko immob canvas long pre ots |
888 |
885 |
$31K |
| L1812 |
Ko elastic w/joints pre ots |
476 |
469 |
$25K |
| L1902 |
Afo ankle gauntlet pre ots |
494 |
489 |
$23K |
| L1833 |
Ko adj jnt pos r sup pre ots |
51 |
51 |
$21K |
| L4350 |
Ankle control ortho pre ots |
616 |
613 |
$19K |