| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutch underarm pair no wood |
8,129 |
7,114 |
$241K |
| L4360 |
Pneumat walking boot pre cst |
905 |
798 |
$155K |
| L4350 |
Ankle control ortho pre ots |
2,583 |
2,235 |
$136K |
| L4361 |
Pneuma/vac walk boot pre ots |
802 |
707 |
$135K |
| L1830 |
Ko immob canvas long pre ots |
2,446 |
2,128 |
$124K |
| L3809 |
Whfo w/o joints pre ots |
1,276 |
1,119 |
$87K |
| L3650 |
So 8 abd restraint pre ots |
3,335 |
2,983 |
$85K |
| L3908 |
Who cock-up nonmolde pre ots |
2,204 |
1,856 |
$82K |
| E0143 |
Walker folding wheeled w/o s |
2,213 |
1,891 |
$63K |
| E0100 |
Cane adjust/fixed with tip |
1,233 |
1,060 |
$15K |
| L3807 |
Whfo w/o joints pre cst |
46 |
45 |
$3K |
| E0163 |
Commode chair with fixed arm |
59 |
55 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
44 |
40 |
$628.29 |