| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
3,020 |
1,671 |
$883K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,020 |
578 |
$646K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,772 |
2,089 |
$342K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
3,628 |
2,012 |
$119K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
804 |
455 |
$94K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
187 |
104 |
$84K |
| L1300 |
Other scoliosis procedure, body jacket molded to patient model |
29 |
29 |
$38K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
81 |
43 |
$34K |
| L1200 |
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only |
32 |
32 |
$33K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
192 |
153 |
$28K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
540 |
534 |
$26K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
93 |
91 |
$21K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
483 |
469 |
$20K |
| L1210 |
Addition to tlso, (low profile), lateral thoracic extension |
60 |
60 |
$12K |
| L0455 |
Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf |
26 |
26 |
$5K |
| L4002 |
Replacement strap, any orthosis, includes all components, any length, any type |
113 |
92 |
$5K |
| L4210 |
Repair of orthotic device, repair or replace minor parts |
106 |
99 |
$5K |
| L2112 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment |
12 |
12 |
$4K |
| L1290 |
Addition to tlso, (low profile), lateral trochanteric pad |
47 |
47 |
$2K |
| L1240 |
Addition to tlso, (low profile), lumbar derotation pad |
33 |
33 |
$2K |
| L0984 |
Protective body sock, prefabricated, off-the-shelf, each |
43 |
43 |
$1K |
| L1270 |
Addition to tlso, (low profile), abdominal pad |
30 |
30 |
$1K |
| L1260 |
Addition to tlso, (low profile), anterior thoracic derotation pad |
31 |
31 |
$1K |
| L1280 |
Addition to tlso, (low profile), rib gusset (elastic), each |
13 |
13 |
$760.33 |
| L1040 |
Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad |
15 |
15 |
$588.94 |