| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
3,339 |
2,922 |
$782K |
| L3908 |
Who cock-up nonmolde pre ots |
4,152 |
3,495 |
$201K |
| L3809 |
Whfo w/o joints pre ots |
1,383 |
1,179 |
$140K |
| E0114 |
Crutch underarm pair no wood |
4,369 |
4,038 |
$128K |
| L3984 |
Upper ext fx orthosis wrist |
446 |
427 |
$96K |
| L1833 |
Ko adj jnt pos r sup pre ots |
227 |
212 |
$80K |
| L1820 |
Ko elas w/ condyle pads & jo |
622 |
563 |
$63K |
| L1902 |
Afo ankle gauntlet pre ots |
1,061 |
958 |
$53K |
| L4350 |
Ankle control ortho pre ots |
710 |
656 |
$41K |
| L3660 |
So 8 ab rstr can/web pre ots |
684 |
645 |
$36K |
| L2112 |
Afo tibial fracture soft |
119 |
117 |
$23K |
| L1830 |
Ko immob canvas long pre ots |
355 |
333 |
$16K |
| L3260 |
Ambulatory surgical boot eac |
1,057 |
968 |
$14K |
| L1812 |
Ko elastic w/joints pre ots |
226 |
153 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
158 |
129 |
$7K |
| L3924 |
Hfo without joints pre ots |
79 |
64 |
$5K |
| L1821 |
Ko elas w/ condyle pads otf |
35 |
35 |
$5K |
| L4387 |
Non-pneum walk boot pre ots |
17 |
13 |
$2K |
| A4565 |
Slings |
102 |
99 |
$4.59 |