| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Molded inner boot |
4,732 |
3,314 |
$2.32M |
| L1907 |
Afo supramalleolar custom |
2,220 |
1,923 |
$1.55M |
| L2820 |
Soft interface below knee se |
12,187 |
9,358 |
$1.24M |
| L3202 |
Oxford w/ supinat/pronator c |
13,135 |
11,090 |
$1.12M |
| L1930 |
Afo plastic |
2,690 |
2,389 |
$1.08M |
| L1960 |
Afo pos solid ank plastic mo |
2,021 |
1,390 |
$1.05M |
| L1970 |
Afo plastic molded w/ankle j |
1,349 |
958 |
$967K |
| L3060 |
Foot arch supp longitud/meta |
6,278 |
5,352 |
$607K |
| L0455 |
Tlso flex trnk sj-t9 pre ots |
1,046 |
978 |
$360K |
| L2840 |
Tibial length sock fx or equ |
3,100 |
2,222 |
$201K |
| L2200 |
Limited ankle motion ea jnt |
1,308 |
937 |
$152K |
| L0456 |
Tlso flex trnk sj-ss pre cst |
273 |
262 |
$123K |
| L3221 |
Orthopedic mens shoes dpth i |
768 |
359 |
$84K |
| L3216 |
Orthoped ladies shoes dpth i |
326 |
159 |
$33K |
| L3906 |
Who w/o joints cf |
18 |
12 |
$5K |
| L2755 |
Carbon graphite lamination |
23 |
17 |
$3K |