| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
492 |
246 |
$273K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,247 |
613 |
$231K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,150 |
1,077 |
$125K |
| L2232 |
Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only |
1,678 |
838 |
$90K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
2,242 |
1,107 |
$67K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
133 |
69 |
$46K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
102 |
51 |
$4K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
54 |
54 |
$2K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
27 |
27 |
$2K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
20 |
12 |
$1K |