| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,005 |
557 |
$100K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,152 |
615 |
$66K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
227 |
129 |
$14K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
29 |
14 |
$11K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
33 |
17 |
$5K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
18 |
12 |
$5K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
104 |
79 |
$4K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
13 |
13 |
$1K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
13 |
12 |
$521.45 |