| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
1,484 |
745 |
$469K |
| L1960 |
Afo pos solid ank plastic mo |
716 |
365 |
$301K |
| L2275 |
Plastic mod low ext pad/line |
3,070 |
1,493 |
$292K |
| L1907 |
Afo supramalleolar custom |
670 |
328 |
$236K |
| L2820 |
Soft interface below knee se |
1,931 |
978 |
$119K |
| L1970 |
Afo plastic molded w/ankle j |
184 |
94 |
$90K |
| L2840 |
Tibial length sock fx or equ |
2,463 |
1,237 |
$89K |
| L3206 |
Hightop w/ supp/pronator chi |
2,543 |
1,223 |
$78K |
| L1940 |
Afo molded to patient plasti |
77 |
39 |
$22K |
| L3332 |
Shoe lifts tapered to one-ha |
352 |
197 |
$10K |
| L2270 |
Varus/valgus strap padded/li |
207 |
103 |
$9K |
| L2210 |
Dorsiflexion assist each joi |
47 |
28 |
$5K |
| L3207 |
Hightop w/ supp/pronator jun |
32 |
16 |
$971.35 |