| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Plastic mod low ext pad/line |
2,566 |
1,413 |
$254K |
| L2840 |
Tibial length sock fx or equ |
1,921 |
1,026 |
$156K |
| L2270 |
Varus/valgus strap padded/li |
1,091 |
605 |
$48K |
| L1970 |
Afo plastic molded w/ankle j |
41 |
25 |
$17K |
| L1960 |
Afo pos solid ank plastic mo |
49 |
24 |
$17K |
| L1907 |
Afo supramalleolar custom |
28 |
14 |
$12K |
| L4205 |
Ortho dvc repair per 15 min |
492 |
437 |
$12K |
| L2280 |
Molded inner boot |
44 |
25 |
$12K |
| L3202 |
Oxford w/ supinat/pronator c |
247 |
229 |
$11K |
| L2200 |
Limited ankle motion ea jnt |
23 |
13 |
$1K |
| L4002 |
Replace strap, any orthosis |
55 |
53 |
$341.19 |