| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
4,732 |
3,314 |
$2.32M |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
2,220 |
1,923 |
$1.55M |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
12,187 |
9,358 |
$1.24M |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
13,135 |
11,090 |
$1.12M |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
2,690 |
2,389 |
$1.08M |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
2,021 |
1,390 |
$1.05M |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,349 |
958 |
$967K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
6,278 |
5,352 |
$607K |
| L0455 |
Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf |
1,046 |
978 |
$360K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
3,100 |
2,222 |
$201K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
1,308 |
937 |
$152K |
| L0456 |
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
273 |
262 |
$123K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
768 |
359 |
$84K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
326 |
159 |
$33K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
18 |
12 |
$5K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
23 |
17 |
$3K |