| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
276 |
112 |
$96K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
321 |
129 |
$24K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
549 |
201 |
$24K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
150 |
54 |
$12K |
| L2280 |
Addition to lower extremity, molded inner boot |
53 |
14 |
$10K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
240 |
90 |
$6K |
| L3201 |
Orthopedic shoe, oxford with supinator or pronator, infant |
72 |
28 |
$2K |