| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
3,384 |
1,867 |
$833K |
| L1907 |
Afo supramalleolar custom |
1,660 |
911 |
$496K |
| L1970 |
Afo plastic molded w/ankle j |
1,194 |
726 |
$456K |
| L1960 |
Afo pos solid ank plastic mo |
1,136 |
638 |
$396K |
| L2275 |
Plastic mod low ext pad/line |
4,840 |
2,684 |
$337K |
| L2820 |
Soft interface below knee se |
2,912 |
1,674 |
$124K |
| L4387 |
Non-pneum walk boot pre ots |
649 |
610 |
$59K |
| L2270 |
Varus/valgus strap padded/li |
1,906 |
1,101 |
$42K |
| L2200 |
Limited ankle motion ea jnt |
1,141 |
686 |
$34K |
| L1930 |
Afo plastic |
81 |
42 |
$11K |
| L4361 |
Pneuma/vac walk boot pre ots |
39 |
38 |
$7K |
| L2840 |
Tibial length sock fx or equ |
75 |
41 |
$3K |
| L3060 |
Foot arch supp longitud/meta |
48 |
25 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
57 |
49 |
$2K |