| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
2,850 |
1,419 |
$1.21M |
| L1907 |
Afo supramalleolar custom |
807 |
419 |
$325K |
| L2340 |
Pre-tibial shell molded to p |
441 |
180 |
$111K |
| L2275 |
Plastic mod low ext pad/line |
1,061 |
545 |
$106K |
| L3000 |
Ft insert ucb berkeley shell |
393 |
192 |
$79K |
| L3334 |
Shoe lifts elevation heel /i |
2,883 |
1,463 |
$76K |
| L2270 |
Varus/valgus strap padded/li |
1,559 |
787 |
$66K |
| L2280 |
Molded inner boot |
70 |
38 |
$32K |
| L1970 |
Afo plastic molded w/ankle j |
22 |
12 |
$15K |
| L3540 |
Ortho shoe add full sole |
280 |
162 |
$12K |
| L2820 |
Soft interface below knee se |
34 |
13 |
$1K |