| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
3,646 |
1,791 |
$814K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,963 |
1,117 |
$605K |
| L2280 |
Addition to lower extremity, molded inner boot |
3,064 |
1,637 |
$558K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
7,497 |
3,897 |
$550K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
1,817 |
922 |
$523K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
3,797 |
2,130 |
$139K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
3,664 |
2,003 |
$104K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
1,736 |
1,034 |
$70K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
1,663 |
829 |
$68K |
| L3808 |
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment |
22 |
14 |
$2K |
| L3050 |
Foot, arch support, removable, premolded, metatarsal, each |
25 |
13 |
$595.20 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
18 |
12 |
$590.24 |