| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
856 |
807 |
$653K |
| L2280 |
Addition to lower extremity, molded inner boot |
821 |
767 |
$501K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,156 |
1,968 |
$358K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,969 |
1,799 |
$224K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
174 |
162 |
$159K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
115 |
107 |
$84K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
169 |
111 |
$16K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
13 |
13 |
$1K |