| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
2,006 |
1,084 |
$608K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
695 |
670 |
$213K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,582 |
1,397 |
$150K |
| L1200 |
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only |
90 |
90 |
$103K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,441 |
842 |
$77K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
154 |
75 |
$25K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
608 |
344 |
$23K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
269 |
251 |
$20K |
| L2280 |
Addition to lower extremity, molded inner boot |
48 |
25 |
$10K |
| 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 |
54 |
48 |
$7K |
| L3150 |
Foot, abduction rotation bar, without shoes |
75 |
75 |
$3K |
| L1240 |
Addition to tlso, (low profile), lumbar derotation pad |
25 |
25 |
$1K |
| L1260 |
Addition to tlso, (low profile), anterior thoracic derotation pad |
25 |
25 |
$994.40 |
| L1250 |
Addition to tlso, (low profile), anterior asis pad |
25 |
25 |
$901.97 |
| L1290 |
Addition to tlso, (low profile), lateral trochanteric pad |
12 |
12 |
$757.32 |
| L1270 |
Addition to tlso, (low profile), abdominal pad |
12 |
12 |
$679.32 |