| 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 |
6,410 |
6,004 |
$1.35M |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
5,239 |
4,820 |
$359K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
8,257 |
7,916 |
$310K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
2,770 |
2,555 |
$299K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
6,129 |
5,398 |
$256K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
3,235 |
3,043 |
$199K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
459 |
423 |
$196K |
| 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 |
1,806 |
1,632 |
$132K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,392 |
2,283 |
$114K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,066 |
2,688 |
$100K |
| L3260 |
Surgical boot/shoe, each |
3,354 |
2,777 |
$49K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
692 |
652 |
$38K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
119 |
118 |
$37K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
621 |
574 |
$32K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
456 |
406 |
$28K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
81 |
73 |
$9K |
| A4565 |
Slings |
1,305 |
1,202 |
$8K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
136 |
116 |
$7K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
65 |
62 |
$2K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
85 |
76 |
$276.27 |
| A4566 |
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment |
594 |
496 |
$46.53 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
16 |
13 |
$14.01 |