| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
1,419 |
718 |
$304K |
| L2840 |
Tibial length sock fx or equ |
2,092 |
921 |
$139K |
| L2275 |
Plastic mod low ext pad/line |
1,597 |
813 |
$105K |
| L2820 |
Soft interface below knee se |
1,035 |
533 |
$39K |
| L1907 |
Afo supramalleolar custom |
112 |
59 |
$39K |
| L1960 |
Afo pos solid ank plastic mo |
50 |
24 |
$12K |
| L2232 |
Rocker bottom, contact afo |
81 |
40 |
$6K |
| L2270 |
Varus/valgus strap padded/li |
107 |
55 |
$2K |
| L2200 |
Limited ankle motion ea jnt |
22 |
12 |
$917.82 |
| A5500 |
Diab shoe for density insert |
25 |
25 |
$0.00 |