| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
5,338 |
4,197 |
$253K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
764 |
687 |
$118K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
525 |
469 |
$91K |
| 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 |
405 |
384 |
$89K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
190 |
167 |
$73K |
| E0218 |
Fluid circulating cold pad with pump, any type |
192 |
158 |
$52K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,368 |
1,128 |
$45K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
400 |
370 |
$20K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
1,305 |
972 |
$15K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
12 |
12 |
$6K |
| L3260 |
Surgical boot/shoe, each |
119 |
74 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
60 |
51 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
14 |
14 |
$633.77 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
92 |
39 |
$588.58 |