| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
584 |
322 |
$133K |
| L1960 |
Afo pos solid ank plastic mo |
385 |
216 |
$113K |
| L2820 |
Soft interface below knee se |
1,727 |
1,051 |
$97K |
| L2270 |
Varus/valgus strap padded/li |
1,321 |
773 |
$93K |
| L2275 |
Plastic mod low ext pad/line |
1,281 |
743 |
$78K |
| A5500 |
Diab shoe for density insert |
1,494 |
762 |
$66K |
| L1970 |
Afo plastic molded w/ankle j |
141 |
96 |
$54K |
| L3000 |
Ft insert ucb berkeley shell |
253 |
128 |
$42K |
| A5513 |
Multi den insert custom mold |
766 |
402 |
$23K |
| L2220 |
Dorsi & plantar flex ass/res |
106 |
74 |
$8K |
| L1940 |
Afo molded to patient plasti |
19 |
12 |
$6K |
| L4360 |
Pneumat walking boot pre cst |
43 |
42 |
$5K |
| L3906 |
Who w/o joints cf |
17 |
12 |
$5K |
| L8000 |
Mastectomy bra |
52 |
52 |
$4K |
| L1820 |
Ko elas w/ condyle pads & jo |
29 |
25 |
$2K |