| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
1,364 |
1,186 |
$576K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
947 |
773 |
$529K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,758 |
2,348 |
$324K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
493 |
400 |
$224K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,475 |
1,278 |
$108K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,638 |
1,277 |
$89K |
| L3225 |
Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) |
941 |
900 |
$68K |
| L3224 |
Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) |
872 |
751 |
$48K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
885 |
725 |
$44K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
46 |
38 |
$10K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
12 |
12 |
$544.21 |