| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
2,182 |
921 |
$323K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
809 |
379 |
$218K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,005 |
1,330 |
$142K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
3,053 |
1,174 |
$124K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
304 |
134 |
$75K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,567 |
702 |
$49K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
2,296 |
1,050 |
$45K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
778 |
365 |
$20K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
70 |
37 |
$20K |
| L5679 |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism |
18 |
12 |
$8K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
46 |
25 |
$3K |
| L5620 |
Addition to lower extremity, test socket, below knee |
24 |
12 |
$2K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
34 |
17 |
$2K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
63 |
39 |
$2K |
| E1399 |
Durable medical equipment, miscellaneous |
17 |
14 |
$1K |
| L8400 |
Prosthetic sheath, below knee, each |
41 |
25 |
$1K |
| L8470 |
Prosthetic sock, single ply, fitting, below knee, each |
63 |
39 |
$479.55 |