| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
1,625 |
818 |
$382K |
| L2820 |
Soft interface below knee se |
3,004 |
1,557 |
$241K |
| L2275 |
Plastic mod low ext pad/line |
3,075 |
1,552 |
$222K |
| L2280 |
Molded inner boot |
764 |
362 |
$180K |
| L1907 |
Afo supramalleolar custom |
670 |
320 |
$166K |
| L2840 |
Tibial length sock fx or equ |
799 |
484 |
$42K |
| L2270 |
Varus/valgus strap padded/li |
1,089 |
532 |
$38K |
| L1970 |
Afo plastic molded w/ankle j |
74 |
39 |
$19K |
| L1200 |
Furnsh initial orthosis only |
13 |
13 |
$13K |
| L1210 |
Lateral thoracic extension |
49 |
38 |
$11K |
| L1930 |
Afo plastic |
37 |
12 |
$4K |
| L1290 |
Lateral trochanteric pad |
50 |
38 |
$2K |
| L1240 |
Lumbar derotation pad |
27 |
25 |
$2K |
| L2200 |
Limited ankle motion ea jnt |
43 |
25 |
$1K |
| L0984 |
Protect body sock ea pre ots |
18 |
12 |
$1K |