| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
177 |
127 |
$121K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
197 |
138 |
$18K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
57 |
56 |
$6K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
162 |
115 |
$6K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
61 |
38 |
$2K |