| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
244 |
203 |
$537K |
| L2280 |
Addition to lower extremity, molded inner boot |
1,015 |
440 |
$260K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
447 |
185 |
$145K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,866 |
789 |
$129K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,303 |
564 |
$80K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
159 |
70 |
$69K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
149 |
64 |
$47K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
467 |
213 |
$23K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
364 |
158 |
$9K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
29 |
12 |
$8K |
| L3203 |
Orthopedic shoe, oxford with supinator or pronator, junior |
200 |
85 |
$6K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
53 |
24 |
$3K |