| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
454 |
440 |
$79K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
22 |
12 |
$8K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
42 |
24 |
$1K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
24 |
13 |
$698.40 |