| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Plastic mod low ext pad/line |
1,922 |
1,605 |
$256K |
| L2820 |
Soft interface below knee se |
1,647 |
1,384 |
$149K |
| L1960 |
Afo pos solid ank plastic mo |
88 |
64 |
$38K |
| L2999 |
Lower extremity orthosis nos |
390 |
234 |
$29K |
| L3020 |
Foot longitud/metatarsal sup |
90 |
60 |
$18K |
| A6533 |
Gc stocking thighlngth 18-30 |
150 |
135 |
$16K |
| A6530 |
Compression stocking bk18-30 |
204 |
170 |
$14K |
| L3010 |
Foot longitudinal arch suppo |
64 |
48 |
$12K |
| L1970 |
Afo plastic molded w/ankle j |
14 |
12 |
$12K |
| L4361 |
Pneuma/vac walk boot pre ots |
24 |
24 |
$4K |
| L2755 |
Carbon graphite lamination |
15 |
12 |
$1K |
| A5500 |
Diab shoe for density insert |
16 |
12 |
$543.66 |
| L3070 |
Arch suprt att to sho longit |
23 |
13 |
$382.82 |