| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
627 |
340 |
$233K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
500 |
324 |
$148K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
466 |
228 |
$67K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
313 |
289 |
$64K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
1,769 |
1,048 |
$58K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
1,476 |
724 |
$35K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
585 |
318 |
$15K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
179 |
105 |
$15K |
| L1200 |
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only |
14 |
14 |
$14K |
| L1300 |
Other scoliosis procedure, body jacket molded to patient model |
12 |
12 |
$11K |
| L1210 |
Addition to tlso, (low profile), lateral thoracic extension |
40 |
38 |
$6K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
94 |
50 |
$4K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
48 |
24 |
$4K |
| L1240 |
Addition to tlso, (low profile), lumbar derotation pad |
40 |
38 |
$2K |
| L1060 |
Addition to ctlso or scoliosis orthosis, thoracic pad |
26 |
26 |
$2K |
| L1290 |
Addition to tlso, (low profile), lateral trochanteric pad |
28 |
26 |
$1K |