| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
5,506 |
3,405 |
$1.56M |
| L1960 |
Afo pos solid ank plastic mo |
4,772 |
2,954 |
$1.53M |
| L2275 |
Plastic mod low ext pad/line |
5,749 |
3,549 |
$431K |
| L2820 |
Soft interface below knee se |
5,839 |
3,618 |
$291K |
| L2270 |
Varus/valgus strap padded/li |
5,922 |
3,659 |
$185K |
| L2840 |
Tibial length sock fx or equ |
5,408 |
3,348 |
$172K |
| L1200 |
Furnsh initial orthosis only |
208 |
151 |
$150K |
| L3203 |
Oxford w/ supinator/pronator |
2,496 |
1,632 |
$124K |
| L3310 |
Shoe lift elev heel/sole neo |
1,272 |
819 |
$73K |
| L3334 |
Shoe lifts elevation heel /i |
1,384 |
897 |
$36K |
| L3020 |
Foot longitud/metatarsal sup |
169 |
99 |
$25K |
| L1210 |
Lateral thoracic extension |
169 |
124 |
$18K |
| L1970 |
Afo plastic molded w/ankle j |
27 |
13 |
$11K |
| L1290 |
Lateral trochanteric pad |
206 |
149 |
$8K |
| L4205 |
Ortho dvc repair per 15 min |
385 |
230 |
$8K |
| L2340 |
Pre-tibial shell molded to p |
16 |
14 |
$7K |
| L1240 |
Lumbar derotation pad |
155 |
119 |
$6K |
| L1040 |
Lumbar or lumbar rib pad |
133 |
96 |
$5K |
| L1250 |
Anterior asis pad |
115 |
90 |
$5K |
| L2220 |
Dorsi & plantar flex ass/res |
24 |
12 |
$2K |
| L3202 |
Oxford w/ supinat/pronator c |
64 |
33 |
$2K |
| L4210 |
Orth dev repair/repl minor p |
48 |
28 |
$1K |
| L1060 |
Thoracic pad |
23 |
13 |
$616.10 |