| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,049 |
542 |
$88K |
| 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 |
58 |
51 |
$34K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
330 |
193 |
$25K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
480 |
265 |
$19K |
| L2280 |
Addition to lower extremity, molded inner boot |
65 |
36 |
$18K |
| L5685 |
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each |
26 |
26 |
$4K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
15 |
13 |
$1K |