| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
129 |
107 |
$73K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
25 |
25 |
$24K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
96 |
90 |
$18K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
14 |
12 |
$14K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
33 |
25 |
$10K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
33 |
25 |
$9K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
96 |
90 |
$7K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
78 |
75 |
$7K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
65 |
62 |
$6K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
14 |
12 |
$2K |