| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
553 |
291 |
$188K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
421 |
213 |
$127K |
| L0480 |
Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated |
72 |
68 |
$45K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
656 |
347 |
$34K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
21 |
12 |
$9K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
103 |
52 |
$7K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
19 |
12 |
$6K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
48 |
25 |
$229.96 |