| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis |
79 |
79 |
$228K |
| L1960 |
Afo pos solid ank plastic mo |
522 |
301 |
$142K |
| L2820 |
Soft interface below knee se |
1,128 |
676 |
$58K |
| L2275 |
Plastic mod low ext pad/line |
1,036 |
604 |
$57K |
| L2270 |
Varus/valgus strap padded/li |
917 |
525 |
$29K |
| L2280 |
Molded inner boot |
88 |
53 |
$24K |
| L4360 |
Pneumat walking boot pre cst |
112 |
112 |
$17K |
| L3000 |
Ft insert ucb berkeley shell |
45 |
31 |
$14K |
| L1970 |
Afo plastic molded w/ankle j |
22 |
13 |
$10K |
| L4361 |
Pneuma/vac walk boot pre ots |
13 |
13 |
$3K |
| L2220 |
Dorsi & plantar flex ass/res |
20 |
12 |
$2K |