| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
638 |
357 |
$53K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
896 |
468 |
$44K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
30 |
24 |
$12K |
| L2280 |
Addition to lower extremity, molded inner boot |
29 |
16 |
$8K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
26 |
13 |
$7K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
29 |
14 |
$3K |