| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
88,521 |
81,949 |
$14.27M |
| L3809 |
Whfo w/o joints pre ots |
52,754 |
48,578 |
$6.35M |
| L1833 |
Ko adj jnt pos r sup pre ots |
15,704 |
14,225 |
$4.58M |
| E0114 |
Crutch underarm pair no wood |
142,997 |
134,082 |
$4.53M |
| L3670 |
So acro/clav can web pre ots |
78,973 |
72,350 |
$3.78M |
| L3908 |
Who cock-up nonmolde pre ots |
94,828 |
82,508 |
$3.10M |
| L1830 |
Ko immob canvas long pre ots |
38,923 |
36,018 |
$1.92M |
| L4350 |
Ankle control ortho pre ots |
29,848 |
27,647 |
$1.52M |
| L1902 |
Afo ankle gauntlet pre ots |
27,243 |
25,006 |
$1.23M |
| L4387 |
Non-pneum walk boot pre ots |
11,354 |
10,275 |
$1.02M |
| L1812 |
Ko elastic w/joints pre ots |
21,187 |
18,999 |
$999K |
| E0143 |
Walker folding wheeled w/o s |
18,782 |
17,545 |
$753K |
| L1852 |
Ko double upright prefab ots |
1,887 |
1,564 |
$701K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
1,256 |
1,077 |
$601K |
| L1820 |
Ko elas w/ condyle pads & jo |
7,485 |
6,755 |
$464K |
| L3761 |
Eo, adj lock joint prefab ot |
1,313 |
1,224 |
$334K |
| E0218 |
Fluid circ cold pad w pump |
1,167 |
1,039 |
$269K |
| L0180 |
Cer post col occ/man sup adj |
1,983 |
1,802 |
$250K |
| L0172 |
Cerv col sr foam 2pc pre ots |
4,095 |
3,763 |
$245K |
| A4467 |
Belt strap sleev grmnt cover |
14,375 |
12,509 |
$216K |
| L0150 |
Cerv semi-rig adj molded chn |
3,222 |
3,034 |
$187K |
| L1851 |
Ko single upright prefab ots |
616 |
458 |
$174K |
| E0720 |
Tens two lead |
3,308 |
3,305 |
$164K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
1,569 |
1,400 |
$164K |
| L3982 |
Upper ext fx orthosis rad/ul |
942 |
878 |
$161K |
| L3984 |
Upper ext fx orthosis wrist |
1,004 |
930 |
$159K |
| L3260 |
Ambulatory surgical boot eac |
11,732 |
10,112 |
$128K |
| L4397 |
Static or dynami afo pre ots |
1,659 |
1,423 |
$123K |
| A4565 |
Slings |
16,878 |
15,502 |
$104K |
| L0637 |
Lso sc r ant/pos pnl pre cst |
123 |
118 |
$104K |
| L2795 |
Knee control full kneecap |
2,896 |
2,477 |
$104K |
| L0648 |
Lso sag r an/pos pnl pre ots |
312 |
285 |
$103K |
| L2780 |
Non-corrosive finish |
1,462 |
1,212 |
$90K |
| E0730 |
Tens four lead |
1,571 |
1,534 |
$89K |
| L3807 |
Whfo w/o joints pre cst |
582 |
511 |
$66K |
| L0464 |
Tlso 4mod sacro-scap pre |
73 |
69 |
$52K |
| L3924 |
Hfo without joints pre ots |
1,367 |
1,142 |
$52K |
| L4360 |
Pneumat walking boot pre cst |
452 |
402 |
$49K |
| E0135 |
Walker folding adjust/fixed |
1,492 |
1,366 |
$45K |
| L1845 |
Ko double upright pre cst |
110 |
78 |
$42K |
| L1930 |
Afo plastic |
328 |
221 |
$39K |
| L0457 |
Tlso flex trnk sj-ss pre ots |
157 |
138 |
$38K |
| L0120 |
Cerv flex n/adj foam pre ots |
2,535 |
2,368 |
$33K |
| L1846 |
Ko w adj flex/ext rotat mold |
46 |
42 |
$31K |
| E0100 |
Cane adjust/fixed with tip |
2,091 |
1,982 |
$26K |
| L3170 |
Foot plas heel stabi pre ots |
881 |
687 |
$20K |
| A4570 |
Splint |
1,799 |
1,629 |
$15K |
| L3960 |
Sewho airplan desig abdu pos |
68 |
65 |
$14K |
| A4556 |
Electrodes, pair |
773 |
763 |
$13K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
59 |
54 |
$10K |
| L1821 |
Ko elas w/ condyle pads otf |
186 |
174 |
$9K |
| E0745 |
Neuromuscular stim for shock |
74 |
74 |
$8K |
| E0155 |
Walker wheel attachment,pair |
413 |
361 |
$5K |
| L3762 |
Eo rigid w/o joints pre ots |
89 |
73 |
$5K |
| L3660 |
So 8 ab rstr can/web pre ots |
132 |
115 |
$4K |
| L2425 |
Knee disc/dial lock/adj flex |
61 |
44 |
$4K |
| L2810 |
Knee control condylar pad |
41 |
39 |
$3K |
| L1810 |
Ko elastic with joints |
73 |
59 |
$3K |
| L2830 |
Soft interface above knee se |
41 |
39 |
$2K |
| L2820 |
Soft interface below knee se |
41 |
39 |
$2K |
| L3332 |
Shoe lifts tapered to one-ha |
79 |
64 |
$2K |
| L0621 |
Sio flex pelvic/sacr pre ots |
32 |
29 |
$2K |
| L2999 |
Lower extremity orthosis nos |
88 |
80 |
$1K |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$1K |
| L1620 |
Ho flex pavlik harns pre cst |
13 |
13 |
$843.86 |
| L1906 |
Afo multilig ank sup pre ots |
14 |
14 |
$575.47 |
| L0140 |
Cervical semi-rigid adjustab |
27 |
26 |
$393.77 |
| L3650 |
So 8 abd restraint pre ots |
15 |
13 |
$392.72 |
| A9270 |
Non-covered item or service |
589 |
522 |
$387.00 |
| L3040 |
Ft arch suprt premold longit |
12 |
12 |
$96.57 |