| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3060 |
Foot arch supp longitud/meta |
12,103 |
6,266 |
$778K |
| L3206 |
Hightop w/ supp/pronator chi |
11,759 |
5,423 |
$556K |
| L2280 |
Molded inner boot |
1,389 |
728 |
$402K |
| L3202 |
Oxford w/ supinat/pronator c |
6,474 |
3,939 |
$396K |
| L2275 |
Plastic mod low ext pad/line |
2,783 |
1,519 |
$250K |
| L3000 |
Ft insert ucb berkeley shell |
767 |
500 |
$238K |
| L1907 |
Afo supramalleolar custom |
413 |
277 |
$220K |
| L1970 |
Afo plastic molded w/ankle j |
354 |
211 |
$171K |
| L2820 |
Soft interface below knee se |
1,786 |
978 |
$100K |
| L3020 |
Foot longitud/metatarsal sup |
249 |
130 |
$38K |
| L1960 |
Afo pos solid ank plastic mo |
57 |
40 |
$27K |
| L1930 |
Afo plastic |
78 |
39 |
$19K |
| L0454 |
Tlso trnk sj-t9 pre cst |
13 |
13 |
$4K |
| L2210 |
Dorsiflexion assist each joi |
57 |
39 |
$2K |