| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,540 |
1,451 |
$173K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,747 |
2,606 |
$142K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
5,794 |
5,571 |
$119K |
| 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 |
814 |
788 |
$112K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
1,381 |
1,305 |
$57K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,347 |
1,261 |
$49K |
| 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 |
637 |
607 |
$46K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
711 |
669 |
$25K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
639 |
601 |
$22K |
| A4565 |
Slings |
2,607 |
2,521 |
$14K |
| L3211 |
Surgical boot, each, junior |
420 |
405 |
$10K |
| L3260 |
Surgical boot/shoe, each |
998 |
940 |
$9K |
| A4570 |
Splint |
693 |
671 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
129 |
124 |
$4K |
| E0155 |
Wheel attachment, rigid pick-up walker, per pair |
248 |
237 |
$3K |
| L3209 |
Surgical boot, each, child |
77 |
76 |
$2K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
76 |
66 |
$526.82 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
36 |
31 |
$381.07 |