| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
312 |
153 |
$125K |
| L2275 |
Plastic mod low ext pad/line |
520 |
274 |
$77K |
| L1970 |
Afo plastic molded w/ankle j |
112 |
50 |
$70K |
| L1907 |
Afo supramalleolar custom |
137 |
81 |
$67K |
| L2840 |
Tibial length sock fx or equ |
464 |
197 |
$64K |
| L1960 |
Afo pos solid ank plastic mo |
38 |
30 |
$24K |
| L2820 |
Soft interface below knee se |
151 |
97 |
$15K |
| L3225 |
Man's shoe oxford brace |
171 |
93 |
$10K |
| L2270 |
Varus/valgus strap padded/li |
221 |
57 |
$8K |
| L2220 |
Dorsi & plantar flex ass/res |
87 |
29 |
$7K |
| L3224 |
Woman's shoe oxford brace |
116 |
68 |
$6K |
| L2200 |
Limited ankle motion ea jnt |
59 |
28 |
$2K |