| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,330 |
558 |
$218K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,821 |
975 |
$106K |
| L2280 |
Addition to lower extremity, molded inner boot |
141 |
65 |
$43K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
977 |
813 |
$40K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
23 |
14 |
$10K |
| L8015 |
External breast prosthesis garment, with mastectomy form, post mastectomy |
82 |
80 |
$5K |
| L8030 |
Breast prosthesis, silicone or equal, without integral adhesive |
18 |
12 |
$3K |