| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
105 |
105 |
$69K |
| L2820 |
Soft interface below knee se |
573 |
572 |
$59K |
| L2200 |
Limited ankle motion ea jnt |
417 |
415 |
$44K |
| L1970 |
Afo plastic molded w/ankle j |
42 |
42 |
$38K |
| L3010 |
Foot longitudinal arch suppo |
104 |
104 |
$26K |
| L1971 |
Afo w/ankle joint, prefab |
26 |
26 |
$15K |
| L1660 |
Ho abduction static plastic |
72 |
72 |
$11K |
| L2768 |
Ortho sidebar disconnect |
24 |
24 |
$5K |
| L2840 |
Tibial length sock fx or equ |
50 |
50 |
$4K |
| L2275 |
Plastic mod low ext pad/line |
24 |
24 |
$4K |
| L2300 |
Abduction bar jointed adjust |
12 |
12 |
$3K |
| V5011 |
Hearing aid fitting/checking |
26 |
26 |
$3K |
| L3202 |
Oxford w/ supinat/pronator c |
27 |
27 |
$2K |