| 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 |
11,083 |
10,660 |
$2.00M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
2,128 |
2,053 |
$865K |
| 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 |
4,607 |
4,238 |
$831K |
| 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 |
1,802 |
1,623 |
$652K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
1,576 |
1,504 |
$547K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
11,131 |
10,035 |
$485K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
2,429 |
2,313 |
$346K |
| 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 |
5,510 |
5,091 |
$297K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
3,683 |
3,452 |
$271K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
1,623 |
1,576 |
$260K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
4,823 |
4,544 |
$252K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
1,523 |
1,468 |
$188K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
5,166 |
4,876 |
$151K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
2,218 |
2,117 |
$148K |
| 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 |
897 |
828 |
$125K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 |
2,232 |
1,310 |
$100K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
1,585 |
1,519 |
$91K |
| L1852 |
Knee orthosis (ko), 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, prefabricated, off-the-shelf |
128 |
125 |
$85K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
950 |
583 |
$82K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
1,319 |
1,233 |
$72K |
| 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 |
2,033 |
1,204 |
$67K |
| L3762 |
Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf |
1,071 |
1,011 |
$66K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
288 |
198 |
$56K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
448 |
442 |
$50K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
1,019 |
930 |
$48K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
635 |
601 |
$43K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
736 |
648 |
$42K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
236 |
187 |
$38K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
153 |
143 |
$34K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
467 |
432 |
$24K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
432 |
414 |
$22K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
379 |
342 |
$18K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
295 |
239 |
$15K |
| 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 |
13 |
13 |
$11K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
139 |
136 |
$9K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
602 |
557 |
$9K |
| L3761 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf |
29 |
29 |
$8K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
58 |
55 |
$6K |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
114 |
108 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
130 |
120 |
$1K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
16 |
14 |
$425.81 |
| E0189 |
Lambswool sheepskin pad, any size |
13 |
12 |
$43.95 |