| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
230 |
166 |
$5K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
15 |
13 |
$3K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
17 |
15 |
$945.92 |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
16 |
15 |
$295.35 |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
15 |
12 |
$244.22 |