| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
2,210 |
2,173 |
$571K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,239 |
1,179 |
$487K |
| L3809 |
Whfo w/o joints pre ots |
2,291 |
2,136 |
$368K |
| L3670 |
So acro/clav can web pre ots |
2,309 |
2,248 |
$181K |
| L3908 |
Who cock-up nonmolde pre ots |
2,248 |
1,938 |
$124K |
| L4387 |
Non-pneum walk boot pre ots |
961 |
865 |
$95K |
| L1902 |
Afo ankle gauntlet pre ots |
934 |
902 |
$67K |
| E0114 |
Crutch underarm pair no wood |
1,619 |
1,595 |
$65K |
| L1832 |
Ko adj jnt pos r sup pre cst |
151 |
142 |
$52K |
| L3982 |
Upper ext fx orthosis rad/ul |
123 |
112 |
$27K |
| L2795 |
Knee control full kneecap |
353 |
334 |
$24K |
| L1820 |
Ko elas w/ condyle pads & jo |
101 |
97 |
$9K |
| L1904 |
Afo molded ankle gauntlet |
18 |
18 |
$6K |
| L2280 |
Molded inner boot |
18 |
14 |
$493.92 |