| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
628 |
581 |
$110K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
557 |
541 |
$49K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
32 |
30 |
$29K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
155 |
140 |
$15K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
39 |
26 |
$7K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
12 |
12 |
$492.48 |