| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
161 |
108 |
$82K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
368 |
222 |
$58K |
| L2280 |
Addition to lower extremity, molded inner boot |
42 |
32 |
$23K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
58 |
29 |
$10K |
| L3225 |
Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) |
92 |
59 |
$6K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
34 |
26 |
$4K |
| L3224 |
Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) |
41 |
27 |
$3K |