| 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 |
34,659 |
34,095 |
$7.02M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
3,621 |
3,543 |
$1.51M |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
34,225 |
31,075 |
$1.48M |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
22,898 |
22,667 |
$1.47M |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
20,163 |
19,906 |
$1.47M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
12,740 |
12,282 |
$1.08M |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
41,322 |
41,125 |
$1.06M |
| 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 |
9,254 |
8,715 |
$753K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
12,676 |
12,407 |
$602K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
7,808 |
7,526 |
$391K |
| L1852 |
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
815 |
787 |
$366K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
8,662 |
8,533 |
$335K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
1,139 |
1,124 |
$256K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
4,251 |
3,866 |
$230K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,711 |
1,690 |
$166K |
| L2112 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment |
550 |
547 |
$119K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
3,176 |
2,749 |
$108K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
1,912 |
1,897 |
$104K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
1,120 |
1,028 |
$95K |
| L3260 |
Surgical boot/shoe, each |
6,591 |
6,441 |
$93K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
5,144 |
5,092 |
$46K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
863 |
832 |
$23K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 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 |
94 |
94 |
$20K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
99 |
41 |
$10K |
| L0120 |
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) |
817 |
797 |
$9K |
| L3761 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf |
37 |
37 |
$9K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
345 |
311 |
$5K |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
115 |
94 |
$5K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
28 |
24 |
$3K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
42 |
41 |
$3K |
| A4565 |
Slings |
388 |
388 |
$2K |
| E0188 |
Synthetic sheepskin pad |
80 |
80 |
$2K |
| L4386 |
Walking boot, non-pneumatic, 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 |
12 |
12 |
$1K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
38 |
37 |
$1K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
14 |
13 |
$0.00 |