| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
1,275 |
1,265 |
$5.00M |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
735 |
725 |
$159K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
875 |
473 |
$62K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
854 |
493 |
$58K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
121 |
66 |
$41K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
142 |
71 |
$32K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
527 |
289 |
$24K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
473 |
249 |
$22K |
| L2280 |
Addition to lower extremity, molded inner boot |
81 |
47 |
$21K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$1K |
| 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 |
25 |
12 |
$1K |