| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
1,419 |
718 |
$304K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
2,092 |
921 |
$139K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,597 |
813 |
$105K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,035 |
533 |
$39K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
112 |
59 |
$39K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
50 |
24 |
$12K |
| L2232 |
Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only |
81 |
40 |
$6K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
107 |
55 |
$2K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
22 |
12 |
$917.82 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
25 |
25 |
$0.00 |