| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
390 |
281 |
$153K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
134 |
97 |
$70K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,430 |
915 |
$67K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
18 |
12 |
$4K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
69 |
66 |
$3K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
23 |
15 |
$2K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
16 |
13 |
$1K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
18 |
12 |
$634.55 |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
22 |
12 |
$510.06 |