| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
105 |
105 |
$69K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
573 |
572 |
$59K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
417 |
415 |
$44K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
42 |
42 |
$38K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
104 |
104 |
$26K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
26 |
26 |
$15K |
| L1660 |
Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment |
72 |
72 |
$11K |
| L2768 |
Orthotic side bar disconnect device, per bar |
24 |
24 |
$5K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
50 |
50 |
$4K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
24 |
24 |
$4K |
| L2300 |
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable |
12 |
12 |
$3K |
| V5011 |
Fitting/orientation/checking of hearing aid |
26 |
26 |
$3K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
27 |
27 |
$2K |