| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
8,189 |
4,918 |
$3.55M |
| L1970 |
Afo plastic molded w/ankle j |
3,577 |
2,283 |
$2.61M |
| L1907 |
Afo supramalleolar custom |
4,946 |
3,039 |
$2.39M |
| L2275 |
Plastic mod low ext pad/line |
10,376 |
5,729 |
$1.50M |
| L1960 |
Afo pos solid ank plastic mo |
2,900 |
1,886 |
$1.48M |
| L2840 |
Tibial length sock fx or equ |
10,726 |
4,661 |
$1.37M |
| L2820 |
Soft interface below knee se |
5,535 |
3,625 |
$470K |
| L3225 |
Man's shoe oxford brace |
5,720 |
3,573 |
$354K |
| L1690 |
Combination bilateral ho |
205 |
179 |
$297K |
| L2220 |
Dorsi & plantar flex ass/res |
2,901 |
1,290 |
$276K |
| L3224 |
Woman's shoe oxford brace |
4,358 |
2,712 |
$224K |
| L2210 |
Dorsiflexion assist each joi |
2,137 |
922 |
$188K |
| L2270 |
Varus/valgus strap padded/li |
4,191 |
1,456 |
$143K |
| L2200 |
Limited ankle motion ea jnt |
2,019 |
1,412 |
$85K |
| L3010 |
Foot longitudinal arch suppo |
371 |
256 |
$60K |
| L3808 |
Whfo, rigid w/o joints |
226 |
137 |
$59K |
| L3060 |
Foot arch supp longitud/meta |
298 |
185 |
$18K |