| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,400 |
947 |
$77K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
145 |
76 |
$64K |
| L2280 |
Addition to lower extremity, molded inner boot |
25 |
15 |
$9K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
52 |
44 |
$9K |
| 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 |
232 |
153 |
$7K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
50 |
38 |
$4K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
46 |
39 |
$3K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
16 |
14 |
$3K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
14 |
12 |
$2K |