| Code | Description | Claims | Beneficiaries | Total Paid |
| L4361 |
Pneuma/vac walk boot pre ots |
1,300 |
1,059 |
$206K |
| L3660 |
So 8 ab rstr can/web pre ots |
2,895 |
2,441 |
$203K |
| E0114 |
Crutch underarm pair no wood |
3,673 |
3,160 |
$109K |
| L3908 |
Who cock-up nonmolde pre ots |
1,795 |
1,472 |
$85K |
| E0143 |
Walker folding wheeled w/o s |
1,792 |
1,406 |
$68K |
| L3809 |
Whfo w/o joints pre ots |
606 |
488 |
$67K |
| L1830 |
Ko immob canvas long pre ots |
988 |
835 |
$67K |
| L4350 |
Ankle control ortho pre ots |
799 |
689 |
$57K |
| L1820 |
Ko elas w/ condyle pads & jo |
394 |
321 |
$35K |
| L1833 |
Ko adj jnt pos r sup pre ots |
83 |
71 |
$30K |
| L3260 |
Ambulatory surgical boot eac |
295 |
253 |
$3K |
| L3670 |
So acro/clav can web pre ots |
17 |
17 |
$2K |