| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
7,295 |
6,589 |
$1.16M |
| L3670 |
So acro/clav can web pre ots |
9,215 |
8,097 |
$599K |
| L3809 |
Whfo w/o joints pre ots |
3,528 |
3,178 |
$490K |
| E0114 |
Crutch underarm pair no wood |
9,670 |
8,820 |
$297K |
| L3908 |
Who cock-up nonmolde pre ots |
6,801 |
5,794 |
$208K |
| L1830 |
Ko immob canvas long pre ots |
2,905 |
2,623 |
$170K |
| L1902 |
Afo ankle gauntlet pre ots |
2,176 |
1,980 |
$105K |
| L1812 |
Ko elastic w/joints pre ots |
1,363 |
1,172 |
$92K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,069 |
984 |
$82K |
| L4350 |
Ankle control ortho pre ots |
1,206 |
1,082 |
$64K |
| L0180 |
Cer post col occ/man sup adj |
197 |
151 |
$20K |
| L1833 |
Ko adj jnt pos r sup pre ots |
78 |
70 |
$18K |
| L3260 |
Ambulatory surgical boot eac |
606 |
510 |
$5K |
| L3982 |
Upper ext fx orthosis rad/ul |
15 |
13 |
$3K |
| L1821 |
Ko elas w/ condyle pads otf |
22 |
21 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
29 |
28 |
$870.65 |
| A4565 |
Slings |
88 |
84 |
$488.63 |