| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
624 |
250 |
$178K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,942 |
758 |
$120K |
| L2280 |
Addition to lower extremity, molded inner boot |
361 |
150 |
$83K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,351 |
525 |
$70K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
400 |
143 |
$9K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
102 |
28 |
$4K |