| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
1,136 |
801 |
$598K |
| L1960 |
Afo pos solid ank plastic mo |
458 |
368 |
$228K |
| L2275 |
Plastic mod low ext pad/line |
3,686 |
2,632 |
$212K |
| L1904 |
Afo molded ankle gauntlet |
244 |
216 |
$101K |
| L2280 |
Molded inner boot |
373 |
229 |
$72K |
| L2270 |
Varus/valgus strap padded/li |
1,929 |
1,624 |
$45K |
| L2820 |
Soft interface below knee se |
1,074 |
570 |
$30K |
| L2220 |
Dorsi & plantar flex ass/res |
252 |
133 |
$24K |
| L2210 |
Dorsiflexion assist each joi |
337 |
292 |
$10K |
| L3020 |
Foot longitud/metatarsal sup |
50 |
29 |
$5K |
| L2200 |
Limited ankle motion ea jnt |
22 |
12 |
$878.22 |
| L2840 |
Tibial length sock fx or equ |
40 |
38 |
$789.60 |