| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Afo pos solid ank plastic mo |
1,927 |
1,070 |
$730K |
| L2275 |
Plastic mod low ext pad/line |
1,588 |
818 |
$133K |
| L2840 |
Tibial length sock fx or equ |
2,795 |
1,412 |
$106K |
| L1940 |
Afo molded to patient plasti |
248 |
135 |
$81K |
| L2270 |
Varus/valgus strap padded/li |
840 |
392 |
$26K |
| L3040 |
Ft arch suprt premold longit |
1,356 |
708 |
$24K |
| L0984 |
Protect body sock ea pre ots |
217 |
185 |
$22K |
| L1200 |
Furnsh initial orthosis only |
14 |
13 |
$9K |
| L1210 |
Lateral thoracic extension |
58 |
53 |
$9K |
| A4467 |
Belt strap sleev grmnt cover |
95 |
50 |
$4K |
| L1290 |
Lateral trochanteric pad |
68 |
61 |
$4K |
| L1930 |
Afo plastic |
24 |
12 |
$4K |
| L4396 |
Static or dynami afo pre cst |
25 |
15 |
$3K |
| L3202 |
Oxford w/ supinat/pronator c |
165 |
74 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
22 |
13 |
$2K |
| L1060 |
Thoracic pad |
31 |
26 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
93 |
51 |
$1K |
| L3221 |
Orthopedic mens shoes dpth i |
49 |
25 |
$1K |
| L1240 |
Lumbar derotation pad |
12 |
12 |
$544.92 |