| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2397 |
Suspension sleeve lower ext |
552 |
466 |
$5K |
| L0976 |
Lso full corset |
746 |
702 |
$3K |
| L2810 |
Knee control condylar pad |
361 |
319 |
$3K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
16 |
14 |
$3K |
| L2395 |
Offset knee joint heavy duty |
99 |
99 |
$2K |
| E0691 |
Uvl pnl 2 sq ft or less |
40 |
39 |
$2K |
| L1833 |
Ko adj jnt pos r sup pre ots |
17 |
13 |
$1K |
| L0648 |
Lso sag r an/pos pnl pre ots |
30 |
29 |
$1K |
| L1030 |
Lumbar bolster pad |
415 |
380 |
$994.44 |
| L1040 |
Lumbar or lumbar rib pad |
286 |
261 |
$901.79 |
| L1060 |
Thoracic pad |
219 |
206 |
$769.78 |
| L1020 |
Kyphosis pad |
265 |
248 |
$654.04 |
| L2830 |
Soft interface above knee se |
111 |
73 |
$603.26 |
| L1050 |
Sternal pad |
188 |
177 |
$572.86 |
| K0672 |
Removable soft interface le |
107 |
105 |
$567.54 |
| L1852 |
Ko double upright prefab ots |
24 |
19 |
$510.21 |
| L2800 |
Knee cap medial or lateral p |
87 |
85 |
$471.31 |
| L1812 |
Ko elastic w/joints pre ots |
34 |
31 |
$367.42 |
| L2425 |
Knee disc/dial lock/adj flex |
51 |
46 |
$253.56 |
| L3962 |
Sewho erbs palsey design abd |
14 |
14 |
$197.32 |
| L1210 |
Lateral thoracic extension |
34 |
32 |
$181.94 |
| L1070 |
Trapezius sling |
14 |
14 |
$179.82 |
| L8320 |
Truss addition to std pad wa |
41 |
40 |
$168.33 |
| L1025 |
Kyphosis pad floating |
34 |
32 |
$152.37 |
| L8300 |
Truss single w/ standard pad |
41 |
40 |
$148.93 |
| L2275 |
Plastic mod low ext pad/line |
21 |
19 |
$131.03 |
| L1240 |
Lumbar derotation pad |
50 |
44 |
$95.29 |
| L0972 |
Lso corset front |
23 |
18 |
$68.35 |
| L1250 |
Anterior asis pad |
26 |
23 |
$62.50 |
| L1260 |
Anterior thoracic derotation |
34 |
32 |
$61.92 |
| L2820 |
Soft interface below knee se |
33 |
31 |
$58.94 |