| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,981 |
1,143 |
$192K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
1,014 |
650 |
$64K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
1,500 |
835 |
$60K |
| L2280 |
Addition to lower extremity, molded inner boot |
156 |
81 |
$51K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
74 |
43 |
$33K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
77 |
52 |
$33K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
456 |
260 |
$17K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
155 |
154 |
$13K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
22 |
12 |
$10K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
168 |
166 |
$6K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
26 |
12 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
28 |
28 |
$1K |