| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
4,725 |
4,641 |
$770K |
| L3809 |
Whfo w/o joints pre ots |
2,719 |
2,626 |
$339K |
| L3908 |
Who cock-up nonmolde pre ots |
4,517 |
3,953 |
$164K |
| L1820 |
Ko elas w/ condyle pads & jo |
3,177 |
2,883 |
$121K |
| L3670 |
So acro/clav can web pre ots |
1,686 |
1,673 |
$118K |
| L1833 |
Ko adj jnt pos r sup pre ots |
322 |
311 |
$117K |
| L1902 |
Afo ankle gauntlet pre ots |
2,077 |
2,001 |
$95K |
| E0114 |
Crutch underarm pair no wood |
1,877 |
1,871 |
$40K |
| L3924 |
Hfo without joints pre ots |
240 |
214 |
$11K |
| L4350 |
Ankle control ortho pre ots |
175 |
173 |
$8K |
| L4387 |
Non-pneum walk boot pre ots |
25 |
25 |
$2K |
| L2795 |
Knee control full kneecap |
46 |
40 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
17 |
17 |
$848.04 |
| E0100 |
Cane adjust/fixed with tip |
13 |
13 |
$109.20 |