| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,270 |
1,126 |
$143K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
57 |
52 |
$43K |
| L2280 |
Addition to lower extremity, molded inner boot |
79 |
68 |
$38K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
82 |
82 |
$20K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
286 |
240 |
$17K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
141 |
130 |
$14K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
31 |
31 |
$9K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
14 |
14 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$863.10 |