| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Plastic mod low ext pad/line |
1,487 |
1,060 |
$164K |
| L2280 |
Molded inner boot |
360 |
256 |
$140K |
| L2820 |
Soft interface below knee se |
546 |
399 |
$56K |
| L3202 |
Oxford w/ supinat/pronator c |
513 |
372 |
$31K |
| L1907 |
Afo supramalleolar custom |
33 |
26 |
$23K |
| L1960 |
Afo pos solid ank plastic mo |
30 |
28 |
$21K |
| L2270 |
Varus/valgus strap padded/li |
194 |
146 |
$10K |
| L2840 |
Tibial length sock fx or equ |
379 |
288 |
$9K |
| L1930 |
Afo plastic |
13 |
13 |
$5K |
| L3060 |
Foot arch supp longitud/meta |
15 |
12 |
$1K |
| L3203 |
Oxford w/ supinator/pronator |
19 |
13 |
$759.60 |