| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Afo tib fx semi-rigid |
8,732 |
8,639 |
$2.62M |
| L1960 |
Afo pos solid ank plastic mo |
2,216 |
1,603 |
$1.15M |
| L1970 |
Afo plastic molded w/ankle j |
1,393 |
1,104 |
$958K |
| L1832 |
Ko adj jnt pos r sup pre cst |
2,225 |
2,171 |
$808K |
| L2280 |
Molded inner boot |
2,492 |
1,718 |
$702K |
| L2840 |
Tibial length sock fx or equ |
10,799 |
9,674 |
$517K |
| L2275 |
Plastic mod low ext pad/line |
3,942 |
2,788 |
$387K |
| L1820 |
Ko elas w/ condyle pads & jo |
4,580 |
4,280 |
$321K |
| L3020 |
Foot longitud/metatarsal sup |
2,349 |
1,598 |
$299K |
| L3995 |
Sock fracture or equal each |
7,235 |
6,721 |
$275K |
| L3908 |
Who cock-up nonmolde pre ots |
8,285 |
7,479 |
$265K |
| L2820 |
Soft interface below knee se |
3,643 |
2,707 |
$260K |
| L1843 |
Ko single upright pre cst |
682 |
611 |
$250K |
| L3807 |
Whfo w/o joints pre cst |
1,378 |
1,310 |
$172K |
| L1833 |
Ko adj jnt pos r sup pre ots |
467 |
456 |
$147K |
| L4360 |
Pneumat walking boot pre cst |
1,460 |
1,449 |
$126K |
| L1907 |
Afo supramalleolar custom |
318 |
228 |
$125K |
| L1902 |
Afo ankle gauntlet pre ots |
2,979 |
2,921 |
$115K |
| L3982 |
Upper ext fx orthosis rad/ul |
439 |
437 |
$115K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
687 |
682 |
$108K |
| L3809 |
Whfo w/o joints pre ots |
901 |
864 |
$93K |
| L1930 |
Afo plastic |
478 |
425 |
$88K |
| L3960 |
Sewho airplan desig abdu pos |
294 |
294 |
$68K |
| L3670 |
So acro/clav can web pre ots |
961 |
958 |
$58K |
| L0648 |
Lso sag r an/pos pnl pre ots |
117 |
116 |
$51K |
| E0114 |
Crutch underarm pair no wood |
2,198 |
2,180 |
$42K |
| L1830 |
Ko immob canvas long pre ots |
782 |
717 |
$38K |
| L0651 |
Lso sag-co shell pnl pre ots |
99 |
98 |
$32K |
| L1906 |
Afo multilig ank sup pre ots |
637 |
630 |
$31K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
69 |
69 |
$26K |
| A5500 |
Diab shoe for density insert |
409 |
314 |
$20K |
| L3260 |
Ambulatory surgical boot eac |
1,024 |
958 |
$17K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
90 |
90 |
$16K |
| E0100 |
Cane adjust/fixed with tip |
1,740 |
1,727 |
$16K |
| L3660 |
So 8 ab rstr can/web pre ots |
480 |
479 |
$16K |
| E0143 |
Walker folding wheeled w/o s |
334 |
328 |
$12K |
| L0180 |
Cer post col occ/man sup adj |
69 |
68 |
$12K |
| L2220 |
Dorsi & plantar flex ass/res |
173 |
150 |
$11K |
| L3924 |
Hfo without joints pre ots |
192 |
163 |
$7K |
| A5512 |
Multi den insert direct form |
234 |
179 |
$5K |
| L2830 |
Soft interface above knee se |
54 |
50 |
$3K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
19 |
18 |
$2K |
| L2200 |
Limited ankle motion ea jnt |
38 |
29 |
$1K |
| L2210 |
Dorsiflexion assist each joi |
15 |
12 |
$713.19 |
| L0999 |
Add to spinal orthosis nos |
14 |
13 |
$602.22 |
| L3923 |
Hfo without joints pre cst |
15 |
14 |
$495.17 |