| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
1,364 |
1,186 |
$576K |
| L1907 |
Afo supramalleolar custom |
947 |
773 |
$529K |
| L2275 |
Plastic mod low ext pad/line |
2,758 |
2,348 |
$324K |
| L1960 |
Afo pos solid ank plastic mo |
493 |
400 |
$224K |
| L2820 |
Soft interface below knee se |
1,475 |
1,278 |
$108K |
| L2840 |
Tibial length sock fx or equ |
1,638 |
1,277 |
$89K |
| L3225 |
Man's shoe oxford brace |
941 |
900 |
$68K |
| L3224 |
Woman's shoe oxford brace |
872 |
751 |
$48K |
| L2270 |
Varus/valgus strap padded/li |
885 |
725 |
$44K |
| L3020 |
Foot longitud/metatarsal sup |
46 |
38 |
$10K |
| L2200 |
Limited ankle motion ea jnt |
12 |
12 |
$544.21 |