| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
1,516 |
645 |
$433K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,408 |
591 |
$294K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
690 |
310 |
$276K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,306 |
1,361 |
$263K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
3,589 |
1,519 |
$135K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,810 |
753 |
$98K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
95 |
45 |
$32K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
709 |
280 |
$24K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
59 |
29 |
$4K |
| L0454 |
Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$4K |