| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
3,309 |
3,135 |
$1.98M |
| L2280 |
Molded inner boot |
2,684 |
2,525 |
$1.26M |
| L1907 |
Afo supramalleolar custom |
1,221 |
1,146 |
$962K |
| L2275 |
Plastic mod low ext pad/line |
5,501 |
5,144 |
$901K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,833 |
2,632 |
$581K |
| L2840 |
Tibial length sock fx or equ |
4,167 |
3,945 |
$342K |
| L3020 |
Foot longitud/metatarsal sup |
1,206 |
1,153 |
$333K |
| L1930 |
Afo plastic |
908 |
837 |
$288K |
| L2820 |
Soft interface below knee se |
1,860 |
1,776 |
$213K |
| L3202 |
Oxford w/ supinat/pronator c |
2,249 |
2,150 |
$186K |
| L3060 |
Foot arch supp longitud/meta |
1,339 |
1,258 |
$138K |
| L1970 |
Afo plastic molded w/ankle j |
44 |
37 |
$34K |
| S1040 |
Cranial remolding orthosis |
16 |
12 |
$32K |
| L3254 |
Orth foot non-stndard size/w |
386 |
374 |
$13K |
| L1940 |
Afo molded to patient plasti |
14 |
13 |
$7K |
| L4387 |
Non-pneum walk boot pre ots |
44 |
44 |
$5K |
| L3203 |
Oxford w/ supinator/pronator |
79 |
72 |
$5K |