| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
2,419 |
2,374 |
$3.83M |
| L2280 |
Addition to lower extremity, molded inner boot |
3,237 |
2,630 |
$1.78M |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,538 |
1,266 |
$1.12M |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
1,098 |
910 |
$675K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
5,152 |
4,306 |
$446K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
489 |
404 |
$316K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
1,661 |
1,438 |
$278K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
575 |
493 |
$96K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
91 |
81 |
$41K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
328 |
273 |
$38K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
459 |
398 |
$31K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
46 |
40 |
$15K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
13 |
12 |
$8K |