| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
627 |
340 |
$233K |
| L1960 |
Afo pos solid ank plastic mo |
500 |
324 |
$148K |
| L1930 |
Afo plastic |
466 |
228 |
$67K |
| L4361 |
Pneuma/vac walk boot pre ots |
313 |
289 |
$64K |
| L2270 |
Varus/valgus strap padded/li |
1,769 |
1,048 |
$58K |
| L3040 |
Ft arch suprt premold longit |
1,476 |
724 |
$35K |
| L2200 |
Limited ankle motion ea jnt |
585 |
318 |
$15K |
| L2275 |
Plastic mod low ext pad/line |
179 |
105 |
$15K |
| L1200 |
Furnsh initial orthosis only |
14 |
14 |
$14K |
| L1300 |
Body jacket mold to patient |
12 |
12 |
$11K |
| L1210 |
Lateral thoracic extension |
40 |
38 |
$6K |
| L2820 |
Soft interface below knee se |
94 |
50 |
$4K |
| L4396 |
Static or dynami afo pre cst |
48 |
24 |
$4K |
| L1240 |
Lumbar derotation pad |
40 |
38 |
$2K |
| L1060 |
Thoracic pad |
26 |
26 |
$2K |
| L1290 |
Lateral trochanteric pad |
28 |
26 |
$1K |