| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,063 |
970 |
$524K |
| L1843 |
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
708 |
624 |
$287K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,568 |
1,617 |
$250K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
2,332 |
1,217 |
$237K |
| L2280 |
Addition to lower extremity, molded inner boot |
761 |
423 |
$189K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
166 |
105 |
$111K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
744 |
611 |
$104K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
644 |
464 |
$42K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
316 |
174 |
$36K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
895 |
826 |
$21K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
20 |
12 |
$11K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
361 |
230 |
$11K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
202 |
192 |
$7K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
25 |
14 |
$7K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
128 |
103 |
$5K |
| L1210 |
Addition to tlso, (low profile), lateral thoracic extension |
12 |
12 |
$4K |
| L5645 |
Addition to lower extremity, below knee, flexible inner socket, external frame |
13 |
13 |
$4K |
| L5637 |
Addition to lower extremity, below knee, total contact |
12 |
12 |
$2K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
44 |
38 |
$2K |
| L5620 |
Addition to lower extremity, test socket, below knee |
13 |
13 |
$2K |
| L5629 |
Addition to lower extremity, below knee, acrylic socket |
12 |
12 |
$2K |
| L5910 |
Addition, endoskeletal system, below knee, alignable system |
14 |
14 |
$2K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
19 |
13 |
$1K |
| L0984 |
Protective body sock, prefabricated, off-the-shelf, each |
12 |
12 |
$484.62 |
| L1290 |
Addition to tlso, (low profile), lateral trochanteric pad |
12 |
12 |
$464.85 |
| L8470 |
Prosthetic sock, single ply, fitting, below knee, each |
14 |
13 |
$329.33 |