| 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 |
569 |
554 |
$100K |
| L2280 |
Addition to lower extremity, molded inner boot |
246 |
155 |
$75K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
540 |
353 |
$47K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
993 |
985 |
$32K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
326 |
318 |
$30K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
51 |
36 |
$28K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
320 |
302 |
$14K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
261 |
177 |
$14K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
225 |
216 |
$11K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
202 |
202 |
$11K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
80 |
44 |
$10K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
252 |
189 |
$9K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
85 |
52 |
$7K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
114 |
112 |
$6K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
183 |
122 |
$5K |
| A4580 |
Cast supplies (e.g., plaster) |
55 |
55 |
$4K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
25 |
13 |
$4K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
70 |
53 |
$2K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
52 |
39 |
$2K |
| 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 |
15 |
14 |
$589.89 |
| A4565 |
Slings |
27 |
27 |
$180.14 |