| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L5645 |
Addition to lower extremity, below knee, flexible inner socket, external frame |
28 |
25 |
$6K |
| L5940 |
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
30 |
26 |
$5K |
| L5910 |
Addition, endoskeletal system, below knee, alignable system |
30 |
26 |
$4K |
| L5629 |
Addition to lower extremity, below knee, acrylic socket |
30 |
26 |
$4K |
| L5637 |
Addition to lower extremity, below knee, total contact |
29 |
26 |
$4K |
| L5620 |
Addition to lower extremity, test socket, below knee |
27 |
24 |
$3K |
| L5704 |
Custom shaped protective cover, below knee |
13 |
12 |
$3K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
32 |
28 |
$1K |
| L8440 |
Prosthetic shrinker, below knee, each |
18 |
15 |
$592.70 |
| L8470 |
Prosthetic sock, single ply, fitting, below knee, each |
32 |
28 |
$441.21 |