| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
1,219 |
680 |
$281K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
869 |
456 |
$259K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
2,226 |
1,247 |
$171K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
2,331 |
1,309 |
$145K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,055 |
1,148 |
$133K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
231 |
154 |
$93K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
41 |
25 |
$13K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
220 |
123 |
$11K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
34 |
25 |
$9K |
| L3350 |
Heel wedge |
21 |
13 |
$124.11 |