| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
26 |
12 |
$7K |
| L2280 |
Addition to lower extremity, molded inner boot |
34 |
16 |
$7K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
92 |
42 |
$5K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
93 |
43 |
$3K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
34 |
16 |
$2K |