| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
47 |
27 |
$18K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
171 |
95 |
$12K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
300 |
156 |
$10K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
28 |
13 |
$6K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
23 |
12 |
$535.67 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
13 |
$394.73 |