| 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 |
1,769 |
1,737 |
$324K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
2,549 |
2,451 |
$129K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
672 |
656 |
$112K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
1,306 |
1,270 |
$102K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
178 |
177 |
$64K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,462 |
1,350 |
$52K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
401 |
398 |
$30K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
252 |
249 |
$14K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
152 |
151 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
71 |
71 |
$5K |
| 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 |
27 |
26 |
$3K |
| A4565 |
Slings |
330 |
253 |
$832.94 |
| L3260 |
Surgical boot/shoe, each |
63 |
43 |
$179.62 |