| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
3,840 |
1,696 |
$478K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
1,339 |
574 |
$444K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
5,223 |
2,328 |
$375K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
860 |
412 |
$273K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,053 |
487 |
$259K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
3,942 |
1,713 |
$107K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
2,102 |
1,004 |
$98K |