| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Plastic mod low ext pad/line |
7,517 |
2,933 |
$540K |
| L1907 |
Afo supramalleolar custom |
1,340 |
588 |
$500K |
| L2840 |
Tibial length sock fx or equ |
4,456 |
1,761 |
$362K |
| L2280 |
Molded inner boot |
1,363 |
574 |
$361K |
| L3020 |
Foot longitud/metatarsal sup |
2,442 |
979 |
$295K |
| L2820 |
Soft interface below knee se |
4,179 |
1,781 |
$213K |
| L2270 |
Varus/valgus strap padded/li |
4,227 |
1,753 |
$129K |
| L1960 |
Afo pos solid ank plastic mo |
403 |
144 |
$106K |
| L3203 |
Oxford w/ supinator/pronator |
1,642 |
624 |
$46K |
| L3202 |
Oxford w/ supinat/pronator c |
891 |
413 |
$26K |
| L1970 |
Afo plastic molded w/ankle j |
48 |
26 |
$23K |
| L3207 |
Hightop w/ supp/pronator jun |
583 |
241 |
$19K |
| L2340 |
Pre-tibial shell molded to p |
26 |
12 |
$9K |
| L3206 |
Hightop w/ supp/pronator chi |
298 |
136 |
$9K |
| L3310 |
Shoe lift elev heel/sole neo |
13 |
12 |
$754.05 |