| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1832 |
Ko adj jnt pos r sup pre cst |
1,063 |
970 |
$524K |
| L1843 |
Ko single upright pre cst |
708 |
624 |
$287K |
| L2275 |
Plastic mod low ext pad/line |
2,568 |
1,617 |
$250K |
| L3010 |
Foot longitudinal arch suppo |
2,332 |
1,217 |
$237K |
| L2280 |
Molded inner boot |
761 |
423 |
$189K |
| L1970 |
Afo plastic molded w/ankle j |
166 |
105 |
$111K |
| L1930 |
Afo plastic |
744 |
611 |
$104K |
| L2820 |
Soft interface below knee se |
644 |
464 |
$42K |
| L3020 |
Foot longitud/metatarsal sup |
316 |
174 |
$36K |
| L2397 |
Suspension sleeve lower ext |
895 |
826 |
$21K |
| L1960 |
Afo pos solid ank plastic mo |
20 |
12 |
$11K |
| L2270 |
Varus/valgus strap padded/li |
361 |
230 |
$11K |
| L1902 |
Afo ankle gauntlet pre ots |
202 |
192 |
$7K |
| L1907 |
Afo supramalleolar custom |
25 |
14 |
$7K |
| L3908 |
Who cock-up nonmolde pre ots |
128 |
103 |
$5K |
| L1210 |
Lateral thoracic extension |
12 |
12 |
$4K |
| L5645 |
Bk flex inner socket ext fra |
13 |
13 |
$4K |
| L5637 |
Below knee total contact |
12 |
12 |
$2K |
| L8420 |
Prosthetic sock multi ply bk |
44 |
38 |
$2K |
| L5620 |
Test socket below knee |
13 |
13 |
$2K |
| L5629 |
Below knee acrylic socket |
12 |
12 |
$2K |
| L5910 |
Endo below knee alignable sy |
14 |
14 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
19 |
13 |
$1K |
| L0984 |
Protect body sock ea pre ots |
12 |
12 |
$484.62 |
| L1290 |
Lateral trochanteric pad |
12 |
12 |
$464.85 |
| L8470 |
Pros sock single ply bk |
14 |
13 |
$329.33 |