| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
1,437 |
610 |
$331K |
| L1960 |
Afo pos solid ank plastic mo |
1,424 |
602 |
$322K |
| L2275 |
Plastic mod low ext pad/line |
6,117 |
2,506 |
$237K |
| L2999 |
Lower extremity orthosis nos |
6,759 |
2,545 |
$144K |
| L2280 |
Molded inner boot |
780 |
307 |
$112K |
| L2820 |
Soft interface below knee se |
2,765 |
1,198 |
$75K |
| L1907 |
Afo supramalleolar custom |
227 |
97 |
$49K |
| L3000 |
Ft insert ucb berkeley shell |
752 |
363 |
$45K |
| L2200 |
Limited ankle motion ea jnt |
1,306 |
544 |
$38K |
| L1930 |
Afo plastic |
258 |
117 |
$28K |
| E1399 |
Durable medical equipment mi |
253 |
204 |
$27K |
| L2270 |
Varus/valgus strap padded/li |
430 |
183 |
$7K |
| L3020 |
Foot longitud/metatarsal sup |
33 |
13 |
$675.00 |