| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
So acro/clav can web pre ots |
2,474 |
2,337 |
$137K |
| L4361 |
Pneuma/vac walk boot pre ots |
842 |
798 |
$127K |
| E0114 |
Crutch underarm pair no wood |
2,803 |
2,701 |
$101K |
| L3908 |
Who cock-up nonmolde pre ots |
1,899 |
1,680 |
$72K |
| L0625 |
Lo flex l1-below l5 pre ots |
2,200 |
1,950 |
$61K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
399 |
370 |
$59K |
| L3809 |
Whfo w/o joints pre ots |
455 |
428 |
$56K |
| L1830 |
Ko immob canvas long pre ots |
957 |
896 |
$53K |
| L4350 |
Ankle control ortho pre ots |
677 |
644 |
$39K |
| L3660 |
So 8 ab rstr can/web pre ots |
569 |
552 |
$34K |
| L3807 |
Whfo w/o joints pre cst |
191 |
186 |
$24K |
| L1833 |
Ko adj jnt pos r sup pre ots |
72 |
66 |
$23K |
| L4387 |
Non-pneum walk boot pre ots |
243 |
238 |
$21K |
| L3260 |
Ambulatory surgical boot eac |
954 |
905 |
$14K |
| L8420 |
Prosthetic sock multi ply bk |
47 |
45 |
$6K |
| L4397 |
Static or dynami afo pre ots |
41 |
28 |
$3K |