| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
6,442 |
3,582 |
$2.13M |
| L1907 |
Afo supramalleolar custom |
3,499 |
1,953 |
$1.19M |
| L1940 |
Afo molded to patient plasti |
2,279 |
1,359 |
$766K |
| L2275 |
Plastic mod low ext pad/line |
6,110 |
3,348 |
$531K |
| L1960 |
Afo pos solid ank plastic mo |
991 |
609 |
$373K |
| L2270 |
Varus/valgus strap padded/li |
4,899 |
2,836 |
$180K |
| L2820 |
Soft interface below knee se |
2,167 |
1,173 |
$126K |
| L2840 |
Tibial length sock fx or equ |
650 |
356 |
$67K |
| L1970 |
Afo plastic molded w/ankle j |
25 |
13 |
$13K |
| L2768 |
Ortho sidebar disconnect |
50 |
27 |
$5K |
| L1930 |
Afo plastic |
34 |
16 |
$5K |
| L2300 |
Abduction bar jointed adjust |
15 |
14 |
$3K |
| L2200 |
Limited ankle motion ea jnt |
69 |
39 |
$2K |
| L2210 |
Dorsiflexion assist each joi |
24 |
13 |
$2K |