| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4360 |
Pneumat walking boot pre cst |
438 |
430 |
$101K |
| E0114 |
Crutch underarm pair no wood |
1,159 |
1,147 |
$56K |
| L3908 |
Who cock-up nonmolde pre ots |
915 |
785 |
$43K |
| L1820 |
Ko elas w/ condyle pads & jo |
288 |
258 |
$28K |
| L3807 |
Whfo w/o joints pre cst |
137 |
129 |
$17K |
| L4361 |
Pneuma/vac walk boot pre ots |
65 |
65 |
$11K |
| L1902 |
Afo ankle gauntlet pre ots |
121 |
116 |
$8K |
| L3670 |
So acro/clav can web pre ots |
129 |
126 |
$7K |
| L0621 |
Sio flex pelvic/sacr pre ots |
52 |
52 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
86 |
82 |
$3K |