| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
12,713 |
6,351 |
$1.01M |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
12,737 |
6,367 |
$760K |
| L3480 |
Heel, pad and depression for spur |
9,924 |
4,956 |
$281K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
2,910 |
1,455 |
$142K |
| L3410 |
Metatarsal bar wedge, between sole |
2,959 |
1,481 |
$124K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
2,497 |
1,249 |
$109K |
| L3203 |
Orthopedic shoe, oxford with supinator or pronator, junior |
4,512 |
2,252 |
$85K |
| L3370 |
Sole wedge, between sole |
2,277 |
1,139 |
$51K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
1,562 |
781 |
$30K |
| L3485 |
Heel, pad, removable for spur |
1,266 |
634 |
$9K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
134 |
68 |
$5K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
112 |
56 |
$4K |
| L3360 |
Sole wedge, outside sole |
178 |
89 |
$3K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
26 |
13 |
$2K |