| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
344 |
193 |
$116K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
1,408 |
829 |
$113K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,333 |
779 |
$94K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
572 |
349 |
$42K |
| L2280 |
Addition to lower extremity, molded inner boot |
71 |
41 |
$20K |
| 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 |
121 |
121 |
$18K |
| 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 |
83 |
83 |
$10K |