| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
906 |
892 |
$1.12M |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
901 |
494 |
$286K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
4,448 |
2,909 |
$219K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
2,833 |
1,640 |
$194K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,403 |
1,364 |
$142K |
| L2280 |
Addition to lower extremity, molded inner boot |
414 |
235 |
$98K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
80 |
58 |
$31K |
| L2250 |
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment |
127 |
83 |
$29K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
102 |
66 |
$28K |
| L2340 |
Addition to lower extremity, pre-tibial shell, molded to patient model |
122 |
67 |
$17K |
| L1904 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated |
31 |
16 |
$7K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
26 |
26 |
$5K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
49 |
49 |
$4K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
38 |
29 |
$3K |
| L1831 |
Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment |
31 |
30 |
$3K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
69 |
65 |
$2K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
145 |
79 |
$2K |
| L2415 |
Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint |
25 |
25 |
$914.71 |