| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Afo tib fx semi-rigid |
500 |
495 |
$141K |
| L2840 |
Tibial length sock fx or equ |
524 |
436 |
$27K |
| L1960 |
Afo pos solid ank plastic mo |
39 |
26 |
$22K |
| L2280 |
Molded inner boot |
57 |
43 |
$20K |
| L2275 |
Plastic mod low ext pad/line |
147 |
104 |
$17K |
| L1832 |
Ko adj jnt pos r sup pre cst |
29 |
28 |
$14K |
| L2820 |
Soft interface below knee se |
135 |
99 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
221 |
199 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
122 |
121 |
$5K |
| L3807 |
Whfo w/o joints pre cst |
15 |
12 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
26 |
25 |
$2K |
| E0114 |
Crutch underarm pair no wood |
85 |
85 |
$2K |
| L3995 |
Sock fracture or equal each |
12 |
12 |
$455.33 |