| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
158 |
85 |
$2K |
| L1851 |
Knee orthosis (ko), single 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 |
52 |
26 |
$1K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
45 |
42 |
$731.73 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
42 |
26 |
$118.02 |