| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
791 |
487 |
$391K |
| S1040 |
Cranial remolding orthosis |
119 |
108 |
$328K |
| L1960 |
Afo pos solid ank plastic mo |
748 |
425 |
$285K |
| L4360 |
Pneumat walking boot pre cst |
712 |
689 |
$122K |
| L2280 |
Molded inner boot |
1,124 |
628 |
$83K |
| L2275 |
Plastic mod low ext pad/line |
1,320 |
773 |
$44K |
| L2820 |
Soft interface below knee se |
2,505 |
1,449 |
$34K |
| L1820 |
Ko elas w/ condyle pads & jo |
458 |
423 |
$25K |
| L2210 |
Dorsiflexion assist each joi |
503 |
313 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
436 |
400 |
$8K |
| L1902 |
Afo ankle gauntlet pre ots |
186 |
175 |
$7K |
| L1830 |
Ko immob canvas long pre ots |
109 |
99 |
$5K |
| L2270 |
Varus/valgus strap padded/li |
487 |
292 |
$3K |
| L2840 |
Tibial length sock fx or equ |
168 |
94 |
$556.95 |