| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
220 |
107 |
$47K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
776 |
380 |
$44K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
251 |
119 |
$15K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
19 |
12 |
$6K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
86 |
44 |
$3K |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
12 |
$2K |
| 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 |
49 |
25 |
$2K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
47 |
26 |
$887.91 |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
20 |
12 |
$387.28 |