| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
621 |
599 |
$1.62M |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
511 |
455 |
$89K |
| L2280 |
Addition to lower extremity, molded inner boot |
92 |
87 |
$48K |
| L3206 |
Orthopedic shoe, hightop with supinator or pronator, child |
139 |
134 |
$33K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
322 |
288 |
$17K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
14 |
12 |
$9K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
13 |
13 |
$8K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
100 |
92 |
$8K |