| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
509 |
459 |
$73K |
| L2280 |
Addition to lower extremity, molded inner boot |
102 |
94 |
$63K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
256 |
232 |
$45K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
121 |
115 |
$42K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
13 |
13 |
$12K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
18 |
15 |
$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 |
31 |
26 |
$1K |