| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
2,439 |
1,974 |
$1.14M |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
958 |
786 |
$634K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
1,054 |
891 |
$617K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,854 |
3,214 |
$486K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
4,128 |
3,451 |
$336K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
296 |
263 |
$196K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
438 |
351 |
$56K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
1,169 |
735 |
$26K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
60 |
51 |
$15K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
296 |
187 |
$8K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
16 |
14 |
$4K |
| L2300 |
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable |
12 |
12 |
$3K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
14 |
12 |
$2K |
| L3211 |
Surgical boot, each, junior |
13 |
13 |
$808.68 |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
19 |
13 |
$137.24 |