| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
164 |
141 |
$96K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
65 |
57 |
$37K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
125 |
115 |
$23K |
| L2340 |
Addition to lower extremity, pre-tibial shell, molded to patient model |
49 |
46 |
$21K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
144 |
133 |
$14K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
23 |
13 |
$5K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
73 |
61 |
$5K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
17 |
13 |
$2K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
30 |
30 |
$1K |
| L3334 |
Lift, elevation, heel, per inch |
27 |
27 |
$1K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
12 |
12 |
$747.00 |