| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
5,548 |
3,353 |
$501K |
| 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 |
2,965 |
2,599 |
$452K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,957 |
1,705 |
$260K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
3,489 |
2,076 |
$259K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
6,803 |
4,797 |
$166K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
6,279 |
5,150 |
$155K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
3,753 |
2,853 |
$138K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
2,000 |
1,580 |
$126K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
210 |
187 |
$97K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
306 |
183 |
$61K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,121 |
616 |
$58K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
846 |
659 |
$54K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
1,224 |
766 |
$53K |
| L2280 |
Addition to lower extremity, molded inner boot |
143 |
69 |
$41K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
380 |
331 |
$29K |
| 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 |
358 |
297 |
$28K |
| L3260 |
Surgical boot/shoe, each |
585 |
531 |
$22K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
225 |
108 |
$18K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
231 |
105 |
$16K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
228 |
203 |
$14K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
24 |
13 |
$13K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
244 |
119 |
$11K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
69 |
54 |
$7K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
128 |
91 |
$5K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
27 |
24 |
$2K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
73 |
67 |
$2K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
22 |
12 |
$744.80 |
| L0984 |
Protective body sock, prefabricated, off-the-shelf, each |
22 |
13 |
$570.60 |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
779 |
605 |
$310.58 |
| A4570 |
Splint |
185 |
168 |
$0.00 |
| A4565 |
Slings |
676 |
520 |
$0.00 |