| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
4,081 |
2,002 |
$825K |
| L2340 |
Pre-tibial shell molded to p |
2,959 |
1,451 |
$776K |
| L2275 |
Plastic mod low ext pad/line |
4,164 |
2,045 |
$514K |
| L1907 |
Afo supramalleolar custom |
1,392 |
697 |
$463K |
| L2840 |
Tibial length sock fx or equ |
3,751 |
1,960 |
$299K |
| L2820 |
Soft interface below knee se |
2,655 |
1,312 |
$97K |
| L2270 |
Varus/valgus strap padded/li |
4,175 |
2,047 |
$95K |
| L2200 |
Limited ankle motion ea jnt |
959 |
484 |
$28K |
| L1960 |
Afo pos solid ank plastic mo |
96 |
49 |
$25K |
| L1970 |
Afo plastic molded w/ankle j |
65 |
36 |
$15K |