| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Afo supramalleolar custom |
4,149 |
2,723 |
$2.00M |
| L2280 |
Molded inner boot |
5,346 |
3,404 |
$1.59M |
| L1960 |
Afo pos solid ank plastic mo |
2,885 |
1,853 |
$1.08M |
| L2840 |
Tibial length sock fx or equ |
5,758 |
3,863 |
$680K |
| L2275 |
Plastic mod low ext pad/line |
7,270 |
4,699 |
$675K |
| L1970 |
Afo plastic molded w/ankle j |
776 |
564 |
$363K |
| L2270 |
Varus/valgus strap padded/li |
4,142 |
2,684 |
$137K |
| L3906 |
Who w/o joints cf |
205 |
152 |
$48K |
| L3808 |
Whfo, rigid w/o joints |
177 |
141 |
$43K |
| L2200 |
Limited ankle motion ea jnt |
472 |
342 |
$21K |
| L2820 |
Soft interface below knee se |
253 |
178 |
$15K |
| L1940 |
Afo molded to patient plasti |
35 |
26 |
$13K |
| L0482 |
Tlso rigid lined custom fab |
12 |
12 |
$13K |
| L0456 |
Tlso flex trnk sj-ss pre cst |
26 |
26 |
$11K |
| L2861 |
Torsion mechanism knee/ankle |
20 |
14 |
$5K |
| L3010 |
Foot longitudinal arch suppo |
37 |
27 |
$4K |
| L2232 |
Rocker bottom, contact afo |
52 |
27 |
$3K |
| L0454 |
Tlso trnk sj-t9 pre cst |
13 |
13 |
$3K |
| L2755 |
Carbon graphite lamination |
19 |
14 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
21 |
13 |
$1K |