| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis |
472 |
353 |
$731K |
| L2280 |
Molded inner boot |
674 |
321 |
$176K |
| L4361 |
Pneuma/vac walk boot pre ots |
454 |
380 |
$67K |
| L1960 |
Afo pos solid ank plastic mo |
224 |
105 |
$65K |
| L1200 |
Furnsh initial orthosis only |
58 |
38 |
$51K |
| L3908 |
Who cock-up nonmolde pre ots |
757 |
688 |
$26K |
| L2820 |
Soft interface below knee se |
344 |
167 |
$13K |
| L1930 |
Afo plastic |
46 |
24 |
$7K |
| L1210 |
Lateral thoracic extension |
56 |
37 |
$7K |
| L1902 |
Afo ankle gauntlet pre ots |
137 |
120 |
$6K |
| L1290 |
Lateral trochanteric pad |
56 |
37 |
$3K |
| L1060 |
Thoracic pad |
55 |
36 |
$3K |
| L1240 |
Lumbar derotation pad |
35 |
25 |
$2K |
| L2270 |
Varus/valgus strap padded/li |
71 |
25 |
$2K |
| L2840 |
Tibial length sock fx or equ |
38 |
12 |
$1K |
| L1812 |
Ko elastic w/joints pre ots |
15 |
12 |
$1K |