| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
Diab shoe for density insert |
3,650 |
2,819 |
$233K |
| L3010 |
Foot longitudinal arch suppo |
1,114 |
946 |
$213K |
| L3221 |
Orthopedic mens shoes dpth i |
1,164 |
1,047 |
$156K |
| L3216 |
Orthoped ladies shoes dpth i |
1,640 |
1,439 |
$145K |
| A6530 |
Compression stocking bk18-30 |
1,841 |
1,453 |
$121K |
| L4360 |
Pneumat walking boot pre cst |
644 |
567 |
$101K |
| L3908 |
Who cock-up nonmolde pre ots |
1,547 |
1,303 |
$82K |
| A5512 |
Multi den insert direct form |
2,051 |
1,695 |
$77K |
| A4670 |
Automatic bp monitor, dial |
902 |
847 |
$54K |
| E0143 |
Walker folding wheeled w/o s |
2,218 |
1,853 |
$45K |
| L0625 |
Lo flex l1-below l5 pre ots |
1,092 |
1,012 |
$38K |
| L1820 |
Ko elas w/ condyle pads & jo |
308 |
293 |
$30K |
| L5673 |
Socket insert w lock mech |
27 |
25 |
$19K |
| A6533 |
Gc stocking thighlngth 18-30 |
104 |
94 |
$12K |
| L4396 |
Static or dynami afo pre cst |
102 |
99 |
$12K |
| A5513 |
Multi den insert custom mold |
352 |
214 |
$10K |
| L3807 |
Whfo w/o joints pre cst |
75 |
72 |
$10K |
| L3260 |
Ambulatory surgical boot eac |
928 |
764 |
$10K |
| L4361 |
Pneuma/vac walk boot pre ots |
126 |
57 |
$9K |
| E0100 |
Cane adjust/fixed with tip |
508 |
476 |
$6K |
| E0156 |
Walker seat attachment |
465 |
375 |
$5K |
| L1971 |
Afo w/ankle joint, prefab |
14 |
12 |
$4K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
14 |
14 |
$3K |
| E0245 |
Tub stool or bench |
48 |
47 |
$3K |
| E0570 |
Nebulizer with compression |
53 |
42 |
$2K |
| L2820 |
Soft interface below knee se |
28 |
27 |
$1K |