| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Afo supramalleolar custom |
492 |
246 |
$273K |
| L2280 |
Molded inner boot |
1,247 |
613 |
$231K |
| L2275 |
Plastic mod low ext pad/line |
2,150 |
1,077 |
$125K |
| L2232 |
Rocker bottom, contact afo |
1,678 |
838 |
$90K |
| L2840 |
Tibial length sock fx or equ |
2,242 |
1,107 |
$67K |
| L1960 |
Afo pos solid ank plastic mo |
133 |
69 |
$46K |
| L2270 |
Varus/valgus strap padded/li |
102 |
51 |
$4K |
| E0667 |
Seg pneumatic appl full leg |
54 |
54 |
$2K |
| E0651 |
Pneum compressor segmental |
27 |
27 |
$2K |
| L2200 |
Limited ankle motion ea jnt |
20 |
12 |
$1K |