| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
830 |
462 |
$260K |
| L2280 |
Addition to lower extremity, molded inner boot |
755 |
421 |
$175K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,929 |
1,101 |
$110K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,120 |
642 |
$72K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
239 |
128 |
$71K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
115 |
76 |
$47K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
311 |
175 |
$13K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
21 |
12 |
$6K |