| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
527 |
275 |
$205K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
2,301 |
1,199 |
$166K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
269 |
138 |
$138K |
| L1945 |
Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated |
87 |
43 |
$71K |
| L0628 |
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
31 |
31 |
$2K |