| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
8,368 |
8,017 |
$1.76M |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,722 |
1,636 |
$693K |
| L3809 |
Whfo w/o joints pre ots |
3,342 |
3,132 |
$547K |
| L3908 |
Who cock-up nonmolde pre ots |
8,975 |
7,692 |
$399K |
| L3670 |
So acro/clav can web pre ots |
3,057 |
2,944 |
$247K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,528 |
1,362 |
$147K |
| L4387 |
Non-pneum walk boot pre ots |
813 |
774 |
$102K |
| L1812 |
Ko elastic w/joints pre ots |
1,710 |
1,567 |
$102K |
| L1902 |
Afo ankle gauntlet pre ots |
1,227 |
1,153 |
$75K |
| L1906 |
Afo multilig ank sup pre ots |
568 |
531 |
$49K |
| E0114 |
Crutch underarm pair no wood |
1,215 |
1,174 |
$43K |
| L3260 |
Ambulatory surgical boot eac |
1,725 |
1,593 |
$42K |
| L3924 |
Hfo without joints pre ots |
627 |
498 |
$35K |
| L4350 |
Ankle control ortho pre ots |
324 |
304 |
$20K |
| L1830 |
Ko immob canvas long pre ots |
369 |
360 |
$19K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
85 |
82 |
$19K |
| L3982 |
Upper ext fx orthosis rad/ul |
12 |
12 |
$4K |
| L2820 |
Soft interface below knee se |
81 |
65 |
$3K |
| L2810 |
Knee control condylar pad |
13 |
13 |
$1K |
| L2830 |
Soft interface above knee se |
26 |
26 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
38 |
37 |
$583.86 |
| A4467 |
Belt strap sleev grmnt cover |
34 |
26 |
$90.00 |