| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
1,971 |
1,087 |
$501K |
| 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 |
686 |
608 |
$93K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
732 |
383 |
$78K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
1,907 |
975 |
$78K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
222 |
121 |
$67K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,149 |
1,031 |
$34K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
108 |
53 |
$16K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
98 |
88 |
$13K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
26 |
14 |
$3K |
| L4386 |
Walking boot, non-pneumatic, 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 |
19 |
15 |
$2K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
16 |
12 |
$62.70 |