| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
1,971 |
1,087 |
$501K |
| L4360 |
Pneumat walking boot pre cst |
686 |
608 |
$93K |
| L3010 |
Foot longitudinal arch suppo |
732 |
383 |
$78K |
| L3040 |
Ft arch suprt premold longit |
1,907 |
975 |
$78K |
| L1970 |
Afo plastic molded w/ankle j |
222 |
121 |
$67K |
| L3908 |
Who cock-up nonmolde pre ots |
1,149 |
1,031 |
$34K |
| L1930 |
Afo plastic |
108 |
53 |
$16K |
| L1832 |
Ko adj jnt pos r sup pre cst |
98 |
88 |
$13K |
| L4397 |
Static or dynami afo pre ots |
26 |
14 |
$3K |
| L4386 |
Non-pneum walk boot pre cst |
19 |
15 |
$2K |
| L2999 |
Lower extremity orthosis nos |
16 |
12 |
$62.70 |