| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2840 |
Tibial length sock fx or equ |
2,923 |
1,883 |
$656K |
| L1907 |
Afo supramalleolar custom |
630 |
403 |
$279K |
| L1970 |
Afo plastic molded w/ankle j |
629 |
430 |
$269K |
| L2275 |
Plastic mod low ext pad/line |
2,828 |
1,814 |
$241K |
| L2280 |
Molded inner boot |
779 |
484 |
$202K |
| L1960 |
Afo pos solid ank plastic mo |
497 |
313 |
$171K |
| L2999 |
Lower extremity orthosis nos |
5,413 |
1,781 |
$124K |
| L2820 |
Soft interface below knee se |
1,961 |
1,266 |
$100K |
| L2270 |
Varus/valgus strap padded/li |
2,602 |
1,682 |
$83K |
| L2200 |
Limited ankle motion ea jnt |
881 |
591 |
$37K |