| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
1,433 |
1,311 |
$830K |
| L1970 |
Afo plastic molded w/ankle j |
481 |
386 |
$434K |
| L1960 |
Afo pos solid ank plastic mo |
391 |
316 |
$293K |
| L1300 |
Body jacket mold to patient |
115 |
111 |
$142K |
| L2840 |
Tibial length sock fx or equ |
1,945 |
1,751 |
$131K |
| L1200 |
Furnsh initial orthosis only |
56 |
56 |
$65K |
| L1210 |
Lateral thoracic extension |
150 |
146 |
$51K |
| L2275 |
Plastic mod low ext pad/line |
239 |
224 |
$36K |
| L0984 |
Protect body sock ea pre ots |
433 |
420 |
$31K |
| L2200 |
Limited ankle motion ea jnt |
290 |
274 |
$17K |
| L2270 |
Varus/valgus strap padded/li |
79 |
75 |
$6K |
| L1820 |
Ko elas w/ condyle pads & jo |
39 |
38 |
$4K |
| L1290 |
Lateral trochanteric pad |
16 |
15 |
$951.01 |
| L3040 |
Ft arch suprt premold longit |
13 |
12 |
$891.44 |
| L1060 |
Thoracic pad |
14 |
13 |
$883.01 |
| L1240 |
Lumbar derotation pad |
13 |
13 |
$647.06 |