| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2840 |
Tibial length sock fx or equ |
2,534 |
969 |
$283K |
| L2280 |
Molded inner boot |
1,041 |
422 |
$260K |
| L2275 |
Plastic mod low ext pad/line |
2,554 |
1,009 |
$171K |
| L1970 |
Afo plastic molded w/ankle j |
133 |
54 |
$54K |
| L2820 |
Soft interface below knee se |
1,113 |
454 |
$50K |
| L1907 |
Afo supramalleolar custom |
81 |
38 |
$32K |
| L3020 |
Foot longitud/metatarsal sup |
197 |
101 |
$28K |
| L3202 |
Oxford w/ supinat/pronator c |
630 |
217 |
$15K |
| L3203 |
Oxford w/ supinator/pronator |
267 |
118 |
$8K |
| L2200 |
Limited ankle motion ea jnt |
99 |
52 |
$3K |
| L2780 |
Non-corrosive finish |
33 |
12 |
$3K |