| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
280 |
280 |
$54K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
172 |
170 |
$24K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
340 |
327 |
$14K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
193 |
192 |
$14K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
291 |
283 |
$11K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
407 |
407 |
$9K |
| 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 |
96 |
96 |
$9K |
| E0570 |
Nebulizer, with compressor |
126 |
126 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
97 |
94 |
$4K |