| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3649 |
Orthopedic shoe, modification, addition or transfer, not otherwise specified |
894 |
813 |
$88K |
| L3230 |
Orthopedic footwear, custom shoe, depth inlay, each |
205 |
160 |
$69K |
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
250 |
212 |
$39K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
324 |
284 |
$37K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
207 |
163 |
$34K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
123 |
94 |
$11K |
| L3580 |
Orthopedic shoe addition, convert instep to velcro closure |
147 |
117 |
$6K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
106 |
103 |
$6K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
39 |
13 |
$5K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
24 |
24 |
$2K |