| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
13,617 |
13,132 |
$890K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,715 |
1,662 |
$616K |
| E0652 |
Pneumatic compressor, segmental home model with calibrated gradient pressure |
213 |
211 |
$610K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
17,225 |
16,349 |
$471K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
2,912 |
2,742 |
$452K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
4,833 |
4,600 |
$248K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
2,016 |
1,891 |
$246K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
4,361 |
4,034 |
$155K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
680 |
492 |
$152K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
370 |
370 |
$82K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
1,671 |
1,529 |
$82K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
337 |
331 |
$45K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
110 |
109 |
$39K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
480 |
454 |
$34K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
708 |
703 |
$29K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
450 |
436 |
$26K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
470 |
454 |
$24K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
249 |
240 |
$23K |
| L2425 |
Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint |
113 |
112 |
$12K |
| L0464 |
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
14 |
13 |
$7K |
| L1846 |
Knee orthosis, 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, custom fabricated |
14 |
14 |
$6K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
152 |
152 |
$5K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
28 |
28 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
12 |
12 |
$4K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
81 |
79 |
$4K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
39 |
39 |
$3K |
| L4360 |
Walking boot, pneumatic and/or vacuum, 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 |
18 |
16 |
$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 |
18 |
18 |
$1K |
| E0189 |
Lambswool sheepskin pad, any size |
15 |
15 |
$470.21 |