| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
500 |
495 |
$141K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
524 |
436 |
$27K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
39 |
26 |
$22K |
| L2280 |
Addition to lower extremity, molded inner boot |
57 |
43 |
$20K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
147 |
104 |
$17K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
29 |
28 |
$14K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
135 |
99 |
$11K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
221 |
199 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
122 |
121 |
$5K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
12 |
$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 |
26 |
25 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
85 |
85 |
$2K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
12 |
12 |
$455.33 |