| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
2,069 |
1,244 |
$1.18M |
| L1960 |
Afo pos solid ank plastic mo |
2,199 |
1,260 |
$993K |
| L1940 |
Afo molded to patient plasti |
1,296 |
760 |
$587K |
| L2280 |
Molded inner boot |
3,147 |
1,841 |
$433K |
| L2275 |
Plastic mod low ext pad/line |
7,591 |
4,320 |
$308K |
| L2330 |
Lacer molded to patient mode |
2,186 |
1,245 |
$225K |
| L2270 |
Varus/valgus strap padded/li |
7,223 |
4,081 |
$124K |
| L3906 |
Who w/o joints cf |
459 |
281 |
$108K |
| L2820 |
Soft interface below knee se |
6,119 |
3,479 |
$106K |
| L3202 |
Oxford w/ supinat/pronator c |
3,226 |
1,786 |
$76K |
| L2340 |
Pre-tibial shell molded to p |
252 |
140 |
$62K |
| L0482 |
Tlso rigid lined custom fab |
55 |
54 |
$57K |
| S1040 |
Cranial remolding orthosis |
12 |
12 |
$36K |
| L2200 |
Limited ankle motion ea jnt |
2,333 |
1,375 |
$31K |
| L2210 |
Dorsiflexion assist each joi |
260 |
151 |
$16K |
| L2370 |
Patten bottom |
187 |
114 |
$13K |
| L3010 |
Foot longitudinal arch suppo |
77 |
43 |
$9K |
| L1260 |
Anterior thoracic derotation |
216 |
205 |
$5K |
| L1290 |
Lateral trochanteric pad |
230 |
219 |
$4K |
| L1210 |
Lateral thoracic extension |
126 |
120 |
$3K |
| L1240 |
Lumbar derotation pad |
154 |
147 |
$3K |
| L2220 |
Dorsi & plantar flex ass/res |
42 |
13 |
$2K |
| L1280 |
Rib gusset (elastic) each |
69 |
68 |
$2K |
| L3203 |
Oxford w/ supinator/pronator |
48 |
24 |
$2K |