| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
4,175 |
1,760 |
$1.22M |
| L2275 |
Plastic mod low ext pad/line |
4,658 |
2,012 |
$365K |
| L2840 |
Tibial length sock fx or equ |
3,609 |
1,569 |
$275K |
| L1907 |
Afo supramalleolar custom |
514 |
209 |
$198K |
| L2820 |
Soft interface below knee se |
2,484 |
1,118 |
$130K |
| L1960 |
Afo pos solid ank plastic mo |
324 |
154 |
$120K |
| L1970 |
Afo plastic molded w/ankle j |
217 |
112 |
$101K |
| L3203 |
Oxford w/ supinator/pronator |
2,294 |
1,037 |
$82K |
| L3202 |
Oxford w/ supinat/pronator c |
1,420 |
586 |
$39K |
| L3300 |
Sho lift taper to metatarsal |
703 |
327 |
$27K |
| L3020 |
Foot longitud/metatarsal sup |
143 |
63 |
$20K |
| L2755 |
Carbon graphite lamination |
89 |
39 |
$8K |
| L2200 |
Limited ankle motion ea jnt |
221 |
114 |
$6K |
| L3310 |
Shoe lift elev heel/sole neo |
26 |
14 |
$2K |