| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
1,264 |
634 |
$439K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
384 |
231 |
$200K |
| L2280 |
Addition to lower extremity, molded inner boot |
410 |
200 |
$79K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
292 |
173 |
$20K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
24 |
12 |
$12K |
| L5673 |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism |
15 |
13 |
$10K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
26 |
14 |
$3K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
12 |
12 |
$565.05 |