| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
2,222 |
1,232 |
$1.49M |
| L1960 |
Afo pos solid ank plastic mo |
1,836 |
1,111 |
$1.23M |
| L2275 |
Plastic mod low ext pad/line |
4,819 |
2,857 |
$634K |
| L3000 |
Ft insert ucb berkeley shell |
1,837 |
1,094 |
$585K |
| L2820 |
Soft interface below knee se |
2,883 |
1,723 |
$264K |
| L3202 |
Oxford w/ supinat/pronator c |
2,127 |
1,221 |
$162K |
| L2840 |
Tibial length sock fx or equ |
2,064 |
1,276 |
$150K |
| L1970 |
Afo plastic molded w/ankle j |
162 |
103 |
$88K |
| L3350 |
Shoe heel wedge |
1,924 |
1,095 |
$54K |
| L3332 |
Shoe lifts tapered to one-ha |
408 |
296 |
$37K |
| L3010 |
Foot longitudinal arch suppo |
151 |
82 |
$28K |
| L1907 |
Afo supramalleolar custom |
43 |
28 |
$26K |
| L2340 |
Pre-tibial shell molded to p |
49 |
24 |
$24K |
| L3320 |
Shoe lift elev heel/sole cor |
54 |
30 |
$4K |
| A5500 |
Diab shoe for density insert |
48 |
26 |
$3K |