| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
564 |
351 |
$161K |
| L2280 |
Addition to lower extremity, molded inner boot |
668 |
350 |
$138K |
| E1399 |
Durable medical equipment, miscellaneous |
390 |
337 |
$138K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,042 |
1,082 |
$112K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
120 |
66 |
$35K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
681 |
367 |
$25K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
106 |
51 |
$19K |
| L1951 |
Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$5K |
| 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 |
134 |
68 |
$4K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
103 |
61 |
$2K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
31 |
26 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$20.90 |