| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis |
2,419 |
2,374 |
$3.83M |
| L2280 |
Molded inner boot |
3,237 |
2,630 |
$1.78M |
| L1970 |
Afo plastic molded w/ankle j |
1,538 |
1,266 |
$1.12M |
| L1960 |
Afo pos solid ank plastic mo |
1,098 |
910 |
$675K |
| L2820 |
Soft interface below knee se |
5,152 |
4,306 |
$446K |
| L1907 |
Afo supramalleolar custom |
489 |
404 |
$316K |
| L3010 |
Foot longitudinal arch suppo |
1,661 |
1,438 |
$278K |
| L2275 |
Plastic mod low ext pad/line |
575 |
493 |
$96K |
| L1940 |
Afo molded to patient plasti |
91 |
81 |
$41K |
| L2210 |
Dorsiflexion assist each joi |
328 |
273 |
$38K |
| L2200 |
Limited ankle motion ea jnt |
459 |
398 |
$31K |
| L1930 |
Afo plastic |
46 |
40 |
$15K |
| L1971 |
Afo w/ankle joint, prefab |
13 |
12 |
$8K |