| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
Diab shoe for density insert |
453 |
384 |
$31K |
| L2116 |
Afo tibial fracture rigid |
49 |
49 |
$17K |
| L3020 |
Foot longitud/metatarsal sup |
71 |
66 |
$15K |
| A5512 |
Multi den insert direct form |
272 |
238 |
$8K |
| L3000 |
Ft insert ucb berkeley shell |
14 |
14 |
$6K |
| L1832 |
Ko adj jnt pos r sup pre cst |
13 |
12 |
$5K |
| L4396 |
Static or dynami afo pre cst |
26 |
26 |
$3K |
| L3010 |
Foot longitudinal arch suppo |
18 |
15 |
$3K |
| L2820 |
Soft interface below knee se |
44 |
43 |
$2K |
| A5513 |
Multi den insert custom mold |
15 |
12 |
$580.90 |