| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1940 |
Afo molded to patient plasti |
2,006 |
1,084 |
$608K |
| L1832 |
Ko adj jnt pos r sup pre cst |
695 |
670 |
$213K |
| L2275 |
Plastic mod low ext pad/line |
2,582 |
1,397 |
$150K |
| L1200 |
Furnsh initial orthosis only |
90 |
90 |
$103K |
| L2820 |
Soft interface below knee se |
1,441 |
842 |
$77K |
| L3000 |
Ft insert ucb berkeley shell |
154 |
75 |
$25K |
| L2270 |
Varus/valgus strap padded/li |
608 |
344 |
$23K |
| L2810 |
Knee control condylar pad |
269 |
251 |
$20K |
| L2280 |
Molded inner boot |
48 |
25 |
$10K |
| L4360 |
Pneumat walking boot pre cst |
54 |
48 |
$7K |
| L3150 |
Abduct rotation bar w/o shoe |
75 |
75 |
$3K |
| L1240 |
Lumbar derotation pad |
25 |
25 |
$1K |
| L1260 |
Anterior thoracic derotation |
25 |
25 |
$994.40 |
| L1250 |
Anterior asis pad |
25 |
25 |
$901.97 |
| L1290 |
Lateral trochanteric pad |
12 |
12 |
$757.32 |
| L1270 |
Abdominal pad |
12 |
12 |
$679.32 |