| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
9,995 |
9,560 |
$1.26M |
| L3809 |
Whfo w/o joints pre ots |
5,523 |
5,302 |
$521K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,612 |
1,486 |
$408K |
| L3670 |
So acro/clav can web pre ots |
7,988 |
7,529 |
$357K |
| L3908 |
Who cock-up nonmolde pre ots |
10,938 |
9,864 |
$276K |
| L1830 |
Ko immob canvas long pre ots |
3,779 |
3,413 |
$137K |
| L1902 |
Afo ankle gauntlet pre ots |
3,577 |
3,383 |
$128K |
| L1812 |
Ko elastic w/joints pre ots |
2,729 |
2,583 |
$123K |
| E0114 |
Crutch underarm pair no wood |
8,015 |
7,014 |
$109K |
| L4350 |
Ankle control ortho pre ots |
2,190 |
2,021 |
$89K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,300 |
1,245 |
$75K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
398 |
322 |
$33K |
| E0143 |
Walker folding wheeled w/o s |
434 |
418 |
$20K |
| A4467 |
Belt strap sleev grmnt cover |
1,279 |
1,182 |
$19K |
| L0150 |
Cerv semi-rig adj molded chn |
428 |
316 |
$11K |
| L4387 |
Non-pneum walk boot pre ots |
230 |
136 |
$8K |
| L3260 |
Ambulatory surgical boot eac |
1,159 |
866 |
$5K |
| L0172 |
Cerv col sr foam 2pc pre ots |
109 |
98 |
$5K |
| A4565 |
Slings |
1,218 |
1,096 |
$4K |
| L1821 |
Ko elas w/ condyle pads otf |
42 |
41 |
$4K |
| L3924 |
Hfo without joints pre ots |
17 |
13 |
$601.25 |