| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
305 |
171 |
$197K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
315 |
310 |
$17K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
320 |
180 |
$13K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
424 |
238 |
$12K |
| L4002 |
Replacement strap, any orthosis, includes all components, any length, any type |
52 |
44 |
$3K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
24 |
12 |
$2K |