| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3030 |
Foot, insert, removable, formed to patient foot, each |
982 |
492 |
$58K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
413 |
413 |
$52K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
286 |
143 |
$25K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
505 |
252 |
$18K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
219 |
110 |
$17K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
104 |
104 |
$1K |