| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
442 |
441 |
$265K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,221 |
1,203 |
$111K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
175 |
175 |
$106K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
152 |
150 |
$94K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
387 |
386 |
$56K |
| L2280 |
Addition to lower extremity, molded inner boot |
31 |
31 |
$17K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
14 |
14 |
$895.86 |
| L0984 |
Protective body sock, prefabricated, off-the-shelf, each |
12 |
12 |
$854.49 |