| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
365 |
242 |
$173K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,553 |
987 |
$93K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
971 |
737 |
$91K |
| L2340 |
Addition to lower extremity, pre-tibial shell, molded to patient model |
228 |
148 |
$71K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
465 |
302 |
$47K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
12 |
12 |
$3K |