| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0648 |
Lso sag r an/pos pnl pre ots |
2,468 |
2,456 |
$1.08M |
| L1833 |
Ko adj jnt pos r sup pre ots |
728 |
668 |
$380K |
| L3916 |
Who nontorsion jnts pre ots |
1,266 |
921 |
$360K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
596 |
594 |
$105K |
| L1848 |
Ko dbl upright w/air pre ots |
250 |
163 |
$74K |
| L3809 |
Whfo w/o joints pre ots |
510 |
348 |
$62K |
| L1820 |
Ko elas w/ condyle pads & jo |
571 |
366 |
$47K |
| L1831 |
Knee orth pos locking joint |
220 |
122 |
$29K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
66 |
66 |
$13K |
| L1971 |
Afo w/ankle joint, prefab |
39 |
28 |
$9K |
| L3807 |
Whfo w/o joints pre cst |
39 |
26 |
$5K |
| E0855 |
Cervical traction equipment |
16 |
16 |
$5K |
| L4397 |
Static or dynami afo pre ots |
33 |
26 |
$4K |