| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Afo supramalleolar custom |
3,201 |
1,767 |
$1.57M |
| L2280 |
Molded inner boot |
1,855 |
1,102 |
$665K |
| L2275 |
Plastic mod low ext pad/line |
4,545 |
2,579 |
$559K |
| L2840 |
Tibial length sock fx or equ |
1,142 |
667 |
$120K |
| L2270 |
Varus/valgus strap padded/li |
2,445 |
1,436 |
$100K |
| L1970 |
Afo plastic molded w/ankle j |
133 |
82 |
$68K |
| L2820 |
Soft interface below knee se |
718 |
428 |
$49K |
| L3010 |
Foot longitudinal arch suppo |
248 |
143 |
$27K |
| L1960 |
Afo pos solid ank plastic mo |
29 |
12 |
$9K |
| L2200 |
Limited ankle motion ea jnt |
109 |
65 |
$3K |