| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1686 |
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment |
14 |
14 |
$1K |
| L1690 |
Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment |
13 |
13 |
$756.36 |
| L2624 |
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each |
48 |
37 |
$405.74 |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
12 |
$115.42 |