| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
22,965 |
20,414 |
$4.32M |
| L4361 |
Pneuma/vac walk boot pre ots |
26,017 |
20,786 |
$3.70M |
| L1833 |
Ko adj jnt pos r sup pre ots |
5,221 |
4,270 |
$2.41M |
| L3908 |
Who cock-up nonmolde pre ots |
47,146 |
37,778 |
$1.63M |
| L1846 |
Ko w adj flex/ext rotat mold |
2,273 |
1,749 |
$1.56M |
| L1832 |
Ko adj jnt pos r sup pre cst |
2,850 |
2,442 |
$1.35M |
| L3809 |
Whfo w/o joints pre ots |
9,942 |
7,621 |
$1.21M |
| L1820 |
Ko elas w/ condyle pads & jo |
16,299 |
13,467 |
$1.18M |
| L3807 |
Whfo w/o joints pre cst |
7,233 |
6,309 |
$1.14M |
| L1902 |
Afo ankle gauntlet pre ots |
22,158 |
18,671 |
$1.10M |
| E0114 |
Crutch underarm pair no wood |
32,250 |
27,717 |
$1.03M |
| L3984 |
Upper ext fx orthosis wrist |
3,980 |
3,377 |
$962K |
| L3660 |
So 8 ab rstr can/web pre ots |
15,056 |
12,924 |
$868K |
| L4386 |
Non-pneum walk boot pre cst |
5,419 |
4,713 |
$606K |
| L1830 |
Ko immob canvas long pre ots |
8,461 |
7,287 |
$541K |
| L1810 |
Ko elastic with joints |
6,215 |
5,246 |
$514K |
| L1812 |
Ko elastic w/joints pre ots |
6,724 |
5,221 |
$475K |
| L4350 |
Ankle control ortho pre ots |
6,699 |
5,807 |
$429K |
| L3260 |
Ambulatory surgical boot eac |
11,903 |
9,941 |
$350K |
| L3670 |
So acro/clav can web pre ots |
4,200 |
3,576 |
$298K |
| L2795 |
Knee control full kneecap |
4,062 |
3,570 |
$202K |
| L4387 |
Non-pneum walk boot pre ots |
2,028 |
1,625 |
$182K |
| L1845 |
Ko double upright pre cst |
317 |
268 |
$172K |
| L2397 |
Suspension sleeve lower ext |
2,119 |
1,701 |
$130K |
| L2755 |
Carbon graphite lamination |
1,573 |
1,176 |
$111K |
| L3265 |
Plastazote sandal each |
1,943 |
1,590 |
$89K |
| L3650 |
So 8 abd restraint pre ots |
2,026 |
1,751 |
$72K |
| L3924 |
Hfo without joints pre ots |
1,459 |
1,166 |
$59K |
| E0143 |
Walker folding wheeled w/o s |
1,224 |
978 |
$52K |
| L3923 |
Hfo without joints pre cst |
1,061 |
835 |
$52K |
| L2830 |
Soft interface above knee se |
776 |
654 |
$48K |
| L3995 |
Sock fracture or equal each |
1,875 |
1,613 |
$44K |
| L2820 |
Soft interface below knee se |
777 |
656 |
$43K |
| E0748 |
Elec osteogen stim spinal |
13 |
13 |
$40K |
| L1852 |
Ko double upright prefab ots |
84 |
62 |
$23K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
39 |
36 |
$10K |
| L4396 |
Static or dynami afo pre cst |
86 |
71 |
$9K |
| A4565 |
Slings |
2,039 |
1,794 |
$8K |
| E0935 |
Cont pas motion exercise dev |
47 |
25 |
$5K |
| L1821 |
Ko elas w/ condyle pads otf |
287 |
266 |
$3K |
| L4397 |
Static or dynami afo pre ots |
28 |
25 |
$3K |
| L3761 |
Eo, adj lock joint prefab ot |
13 |
12 |
$3K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
23 |
13 |
$2K |
| L3675 |
So vest canvas/web pre ots |
15 |
12 |
$1K |
| A4467 |
Belt strap sleev grmnt cover |
217 |
206 |
$839.36 |
| A9270 |
Non-covered item or service |
39 |
24 |
$181.68 |