| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
1,244 |
1,239 |
$258K |
| L3670 |
So acro/clav can web pre ots |
931 |
920 |
$63K |
| L3908 |
Who cock-up nonmolde pre ots |
1,324 |
1,224 |
$56K |
| L4360 |
Pneumat walking boot pre cst |
254 |
248 |
$56K |
| E0114 |
Crutch underarm pair no wood |
1,976 |
1,935 |
$40K |
| L4350 |
Ankle control ortho pre ots |
561 |
540 |
$35K |
| L1830 |
Ko immob canvas long pre ots |
182 |
178 |
$10K |
| L3660 |
So 8 ab rstr can/web pre ots |
79 |
77 |
$6K |
| L1820 |
Ko elas w/ condyle pads & jo |
53 |
53 |
$4K |
| L3809 |
Whfo w/o joints pre ots |
29 |
29 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$481.29 |
| L3260 |
Ambulatory surgical boot eac |
13 |
12 |
$104.11 |