| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,754 |
1,230 |
$1.23M |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
1,702 |
1,162 |
$702K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
4,203 |
3,256 |
$495K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
3,634 |
2,811 |
$315K |
| L2250 |
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment |
1,515 |
1,213 |
$296K |
| L2780 |
Addition to lower extremity orthosis, non-corrosive finish, per bar |
1,240 |
1,045 |
$160K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
1,506 |
1,249 |
$146K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
3,108 |
2,287 |
$100K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
178 |
109 |
$85K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
213 |
124 |
$43K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
254 |
116 |
$18K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
323 |
268 |
$14K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
118 |
59 |
$7K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
71 |
63 |
$6K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
22 |
12 |
$1K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
16 |
13 |
$910.20 |