| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
602 |
355 |
$34K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
685 |
439 |
$22K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
274 |
134 |
$19K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
54 |
37 |
$17K |
| 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 |
126 |
64 |
$4K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
87 |
50 |
$3K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
25 |
15 |
$555.21 |