| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
791 |
487 |
$391K |
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
119 |
108 |
$328K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
748 |
425 |
$285K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
712 |
689 |
$122K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,124 |
628 |
$83K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,320 |
773 |
$44K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
2,505 |
1,449 |
$34K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
458 |
423 |
$25K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
503 |
313 |
$11K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
436 |
400 |
$8K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
186 |
175 |
$7K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
109 |
99 |
$5K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
487 |
292 |
$3K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
168 |
94 |
$556.95 |