| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
7,818 |
7,190 |
$1.30M |
| L3809 |
Whfo w/o joints pre ots |
4,686 |
4,350 |
$577K |
| L3660 |
So 8 ab rstr can/web pre ots |
6,462 |
5,935 |
$423K |
| E0114 |
Crutch underarm pair no wood |
12,299 |
11,216 |
$374K |
| L3908 |
Who cock-up nonmolde pre ots |
8,808 |
7,389 |
$358K |
| L1820 |
Ko elas w/ condyle pads & jo |
4,067 |
3,749 |
$343K |
| L4350 |
Ankle control ortho pre ots |
5,855 |
5,482 |
$335K |
| L1830 |
Ko immob canvas long pre ots |
2,286 |
2,130 |
$122K |
| L1902 |
Afo ankle gauntlet pre ots |
1,251 |
1,139 |
$65K |
| L1832 |
Ko adj jnt pos r sup pre cst |
851 |
608 |
$52K |
| L3924 |
Hfo without joints pre ots |
1,147 |
888 |
$43K |
| L3260 |
Ambulatory surgical boot eac |
3,617 |
3,390 |
$43K |
| L3670 |
So acro/clav can web pre ots |
678 |
627 |
$42K |
| E0143 |
Walker folding wheeled w/o s |
2,105 |
1,846 |
$41K |
| L1812 |
Ko elastic w/joints pre ots |
271 |
250 |
$19K |
| L1821 |
Ko elas w/ condyle pads otf |
94 |
91 |
$13K |
| L4396 |
Static or dynami afo pre cst |
101 |
66 |
$10K |
| L4387 |
Non-pneum walk boot pre ots |
61 |
55 |
$6K |
| E0100 |
Cane adjust/fixed with tip |
350 |
324 |
$3K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
15 |
13 |
$2K |
| L0150 |
Cerv semi-rig adj molded chn |
16 |
13 |
$806.00 |
| L4397 |
Static or dynami afo pre ots |
275 |
178 |
$445.00 |
| L1833 |
Ko adj jnt pos r sup pre ots |
172 |
160 |
$444.70 |