| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis |
906 |
892 |
$1.12M |
| L1940 |
Afo molded to patient plasti |
901 |
494 |
$286K |
| L2820 |
Soft interface below knee se |
4,448 |
2,909 |
$219K |
| L2270 |
Varus/valgus strap padded/li |
2,833 |
1,640 |
$194K |
| L2275 |
Plastic mod low ext pad/line |
2,403 |
1,364 |
$142K |
| L2280 |
Molded inner boot |
414 |
235 |
$98K |
| L1970 |
Afo plastic molded w/ankle j |
80 |
58 |
$31K |
| L2250 |
Foot plate molded stirrup at |
127 |
83 |
$29K |
| L3906 |
Who w/o joints cf |
102 |
66 |
$28K |
| L2340 |
Pre-tibial shell molded to p |
122 |
67 |
$17K |
| L1904 |
Afo molded ankle gauntlet |
31 |
16 |
$7K |
| L1832 |
Ko adj jnt pos r sup pre cst |
26 |
26 |
$5K |
| L4360 |
Pneumat walking boot pre cst |
49 |
49 |
$4K |
| L2220 |
Dorsi & plantar flex ass/res |
38 |
29 |
$3K |
| L1831 |
Knee orth pos locking joint |
31 |
30 |
$3K |
| L2830 |
Soft interface above knee se |
69 |
65 |
$2K |
| L2840 |
Tibial length sock fx or equ |
145 |
79 |
$2K |
| L2415 |
Knee joint cam lock each joi |
25 |
25 |
$914.71 |