| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
851 |
526 |
$40K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
365 |
232 |
$28K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
687 |
422 |
$25K |
| L2340 |
Addition to lower extremity, pre-tibial shell, molded to patient model |
64 |
38 |
$13K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
15 |
12 |
$7K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
15 |
12 |
$1K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
18 |
13 |
$349.98 |