| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
908 |
724 |
$776K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
591 |
431 |
$371K |
| L2280 |
Addition to lower extremity, molded inner boot |
500 |
382 |
$224K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,601 |
1,187 |
$188K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
2,401 |
1,820 |
$131K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,285 |
1,013 |
$113K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
125 |
92 |
$62K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
137 |
93 |
$25K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
144 |
122 |
$13K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
74 |
50 |
$3K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
33 |
27 |
$3K |
| 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 |
37 |
28 |
$2K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
40 |
31 |
$1K |