| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
157 |
150 |
$27K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
29 |
16 |
$10K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
54 |
50 |
$3K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
27 |
15 |
$962.38 |