| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
908 |
724 |
$776K |
| L1960 |
Afo pos solid ank plastic mo |
591 |
431 |
$371K |
| L2280 |
Molded inner boot |
500 |
382 |
$224K |
| L2275 |
Plastic mod low ext pad/line |
1,601 |
1,187 |
$188K |
| L2270 |
Varus/valgus strap padded/li |
2,401 |
1,820 |
$131K |
| L2820 |
Soft interface below knee se |
1,285 |
1,013 |
$113K |
| L1907 |
Afo supramalleolar custom |
125 |
92 |
$62K |
| L3010 |
Foot longitudinal arch suppo |
137 |
93 |
$25K |
| L2840 |
Tibial length sock fx or equ |
144 |
122 |
$13K |
| L2200 |
Limited ankle motion ea jnt |
74 |
50 |
$3K |
| A5513 |
Multi den insert custom mold |
33 |
27 |
$3K |
| A5500 |
Diab shoe for density insert |
37 |
28 |
$2K |
| L4205 |
Ortho dvc repair per 15 min |
40 |
31 |
$1K |