| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Ko adj jnt pos r sup pre ots |
639 |
399 |
$89K |
| L0648 |
Lso sag r an/pos pnl pre ots |
308 |
276 |
$66K |
| A6530 |
Compression stocking bk18-30 |
655 |
308 |
$23K |
| L3216 |
Orthoped ladies shoes dpth i |
380 |
176 |
$19K |
| L2397 |
Suspension sleeve lower ext |
681 |
418 |
$16K |
| L3030 |
Foot arch support remov prem |
282 |
139 |
$15K |
| L3040 |
Ft arch suprt premold longit |
799 |
306 |
$14K |
| A6531 |
Compress stking bk30-40 surg |
1,175 |
508 |
$12K |
| A4595 |
Tens suppl 2 lead per month |
1,226 |
997 |
$8K |
| A4557 |
Lead wires, pair |
1,232 |
995 |
$6K |
| L3809 |
Whfo w/o joints pre ots |
40 |
25 |
$3K |
| E0730 |
Tens four lead |
153 |
122 |
$2K |
| A5500 |
Diab shoe for density insert |
1,034 |
471 |
$2K |
| A5512 |
Multi den insert direct form |
1,048 |
469 |
$2K |
| L3222 |
Mens shoes hightop depth inl |
60 |
25 |
$2K |
| L1832 |
Ko adj jnt pos r sup pre cst |
22 |
12 |
$1K |