| Code | Description | Claims | Beneficiaries | Total Paid |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
92 |
54 |
$6K |
| L4386 |
Walking boot, non-pneumatic, 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 |
27 |
27 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
51 |
51 |
$2K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
21 |
12 |
$399.02 |