| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
1,328 |
686 |
$428K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,489 |
747 |
$420K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,752 |
1,375 |
$410K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
2,445 |
1,273 |
$267K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
230 |
116 |
$103K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,271 |
672 |
$64K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 |
922 |
461 |
$50K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
89 |
51 |
$36K |
| 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 |
1,052 |
522 |
$27K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
23 |
12 |
$1K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
29 |
14 |
$997.68 |