| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3020 |
Foot longitud/metatarsal sup |
949 |
539 |
$114K |
| L3908 |
Who cock-up nonmolde pre ots |
1,900 |
1,672 |
$77K |
| L1902 |
Afo ankle gauntlet pre ots |
1,509 |
1,422 |
$69K |
| L2275 |
Plastic mod low ext pad/line |
513 |
386 |
$60K |
| L3000 |
Ft insert ucb berkeley shell |
129 |
98 |
$42K |
| L3807 |
Whfo w/o joints pre cst |
295 |
283 |
$38K |
| L1970 |
Afo plastic molded w/ankle j |
50 |
38 |
$37K |
| L1820 |
Ko elas w/ condyle pads & jo |
438 |
409 |
$34K |
| L2820 |
Soft interface below knee se |
343 |
260 |
$24K |
| A5500 |
Diab shoe for density insert |
270 |
145 |
$10K |
| L1960 |
Afo pos solid ank plastic mo |
14 |
12 |
$9K |
| A5513 |
Multi den insert custom mold |
151 |
82 |
$6K |
| L3809 |
Whfo w/o joints pre ots |
13 |
12 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
12 |
12 |
$816.82 |