| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
7,482 |
7,394 |
$1.84M |
| L3809 |
Whfo w/o joints pre ots |
7,692 |
7,406 |
$1.56M |
| E0114 |
Crutch underarm pair no wood |
24,261 |
24,094 |
$980K |
| L1820 |
Ko elas w/ condyle pads & jo |
5,695 |
5,563 |
$679K |
| L3908 |
Who cock-up nonmolde pre ots |
11,338 |
10,484 |
$574K |
| L3670 |
So acro/clav can web pre ots |
4,474 |
4,390 |
$432K |
| L4350 |
Ankle control ortho pre ots |
5,371 |
5,329 |
$422K |
| L1830 |
Ko immob canvas long pre ots |
4,943 |
4,898 |
$347K |
| L1902 |
Afo ankle gauntlet pre ots |
3,521 |
3,488 |
$326K |
| L1833 |
Ko adj jnt pos r sup pre ots |
234 |
229 |
$118K |
| A4467 |
Belt strap sleev grmnt cover |
1,214 |
1,192 |
$20K |
| L3260 |
Ambulatory surgical boot eac |
1,292 |
1,273 |
$17K |
| A4565 |
Slings |
2,839 |
2,554 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
178 |
177 |
$12K |
| L0172 |
Cerv col sr foam 2pc pre ots |
39 |
39 |
$5K |
| L1821 |
Ko elas w/ condyle pads otf |
39 |
38 |
$3K |
| A4570 |
Splint |
89 |
85 |
$2K |
| L0621 |
Sio flex pelvic/sacr pre ots |
12 |
12 |
$899.30 |