| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
2,972 |
1,456 |
$744K |
| L1970 |
Afo plastic molded w/ankle j |
1,192 |
623 |
$459K |
| L2840 |
Tibial length sock fx or equ |
2,613 |
1,490 |
$220K |
| L1960 |
Afo pos solid ank plastic mo |
587 |
278 |
$190K |
| L2275 |
Plastic mod low ext pad/line |
2,499 |
1,253 |
$178K |
| L2820 |
Soft interface below knee se |
3,658 |
1,779 |
$173K |
| L1907 |
Afo supramalleolar custom |
484 |
246 |
$169K |
| L2270 |
Varus/valgus strap padded/li |
2,775 |
1,363 |
$80K |
| L2200 |
Limited ankle motion ea jnt |
642 |
329 |
$20K |
| L3808 |
Whfo, rigid w/o joints |
44 |
25 |
$8K |
| L3360 |
Shoe sole wedge outside sole |
446 |
207 |
$8K |
| L3332 |
Shoe lifts tapered to one-ha |
168 |
94 |
$6K |
| L2220 |
Dorsi & plantar flex ass/res |
75 |
39 |
$4K |
| L2210 |
Dorsiflexion assist each joi |
18 |
12 |
$1K |