| Code | Description | Claims | Beneficiaries | Total Paid |
| L4360 |
Pneumat walking boot pre cst |
1,656 |
1,639 |
$273K |
| L1971 |
Afo w/ankle joint, prefab |
629 |
326 |
$166K |
| L3908 |
Who cock-up nonmolde pre ots |
3,797 |
3,409 |
$159K |
| L1832 |
Ko adj jnt pos r sup pre cst |
371 |
358 |
$138K |
| L2820 |
Soft interface below knee se |
1,802 |
1,124 |
$95K |
| L2275 |
Plastic mod low ext pad/line |
1,886 |
1,096 |
$91K |
| L2768 |
Ortho sidebar disconnect |
1,208 |
612 |
$89K |
| L2280 |
Molded inner boot |
374 |
226 |
$79K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,111 |
1,039 |
$75K |
| L2200 |
Limited ankle motion ea jnt |
1,396 |
767 |
$67K |
| L1960 |
Afo pos solid ank plastic mo |
203 |
124 |
$54K |
| L1970 |
Afo plastic molded w/ankle j |
121 |
80 |
$40K |
| L3660 |
So 8 ab rstr can/web pre ots |
490 |
490 |
$28K |
| L1906 |
Afo multilig ank sup pre ots |
295 |
285 |
$28K |
| L4361 |
Pneuma/vac walk boot pre ots |
102 |
101 |
$19K |
| L1846 |
Ko w adj flex/ext rotat mold |
24 |
24 |
$17K |
| A5500 |
Diab shoe for density insert |
311 |
161 |
$11K |
| A5513 |
Multi den insert custom mold |
291 |
163 |
$6K |
| L1907 |
Afo supramalleolar custom |
23 |
12 |
$6K |
| L1830 |
Ko immob canvas long pre ots |
86 |
85 |
$5K |
| L4386 |
Non-pneum walk boot pre cst |
48 |
45 |
$4K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
17 |
17 |
$4K |
| L3670 |
So acro/clav can web pre ots |
28 |
28 |
$2K |