| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
578 |
247 |
$166K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,232 |
543 |
$94K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
135 |
65 |
$52K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
110 |
55 |
$43K |
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
30 |
29 |
$41K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
456 |
224 |
$26K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
405 |
186 |
$22K |