| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Afo supramalleolar custom |
3,310 |
1,892 |
$1.33M |
| L2280 |
Molded inner boot |
3,149 |
1,766 |
$1.04M |
| L2275 |
Plastic mod low ext pad/line |
4,572 |
2,534 |
$370K |
| L2270 |
Varus/valgus strap padded/li |
2,412 |
1,487 |
$93K |
| L2820 |
Soft interface below knee se |
1,666 |
991 |
$80K |
| L1970 |
Afo plastic molded w/ankle j |
100 |
54 |
$34K |
| L2840 |
Tibial length sock fx or equ |
425 |
260 |
$30K |
| S1040 |
Cranial remolding orthosis |
13 |
13 |
$21K |
| L2755 |
Carbon graphite lamination |
133 |
87 |
$21K |
| L1960 |
Afo pos solid ank plastic mo |
63 |
38 |
$21K |
| L1940 |
Afo molded to patient plasti |
21 |
14 |
$8K |