| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
54 |
27 |
$834.71 |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
26 |
13 |
$263.72 |
| L1843 |
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
28 |
14 |
$214.94 |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
26 |
13 |
$137.10 |
| L2395 |
Addition to lower extremity, offset knee joint, heavy duty, each joint |
28 |
14 |
$0.00 |