| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
12,103 |
6,266 |
$778K |
| L3206 |
Orthopedic shoe, hightop with supinator or pronator, child |
11,759 |
5,423 |
$556K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,389 |
728 |
$402K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
6,474 |
3,939 |
$396K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,783 |
1,519 |
$250K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
767 |
500 |
$238K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
413 |
277 |
$220K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
354 |
211 |
$171K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,786 |
978 |
$100K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
249 |
130 |
$38K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
57 |
40 |
$27K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
78 |
39 |
$19K |
| L0454 |
Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$4K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
57 |
39 |
$2K |