| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
640 |
636 |
$106K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,060 |
1,060 |
$67K |
| L4396 |
Static or dynami afo pre cst |
301 |
295 |
$27K |
| L1833 |
Ko adj jnt pos r sup pre ots |
39 |
39 |
$20K |
| L1832 |
Ko adj jnt pos r sup pre cst |
45 |
45 |
$17K |
| L2820 |
Soft interface below knee se |
215 |
175 |
$14K |
| L3908 |
Who cock-up nonmolde pre ots |
295 |
275 |
$14K |
| L1906 |
Afo multilig ank sup pre ots |
72 |
61 |
$7K |
| L1830 |
Ko immob canvas long pre ots |
73 |
73 |
$5K |
| L3670 |
So acro/clav can web pre ots |
51 |
51 |
$4K |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$861.36 |