| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
1,786 |
814 |
$716K |
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
278 |
270 |
$709K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,898 |
875 |
$177K |
| L2340 |
Addition to lower extremity, pre-tibial shell, molded to patient model |
594 |
278 |
$170K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
1,469 |
507 |
$122K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
257 |
119 |
$121K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,442 |
658 |
$81K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,097 |
485 |
$73K |
| L2250 |
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment |
66 |
26 |
$16K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
171 |
67 |
$14K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
102 |
40 |
$8K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
81 |
41 |
$5K |
| L3334 |
Lift, elevation, heel, per inch |
113 |
65 |
$3K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
24 |
12 |
$1K |