| 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 |
7,786 |
7,701 |
$1.66M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
3,967 |
3,926 |
$638K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
5,822 |
5,741 |
$562K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12,417 |
12,345 |
$531K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,394 |
1,366 |
$512K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
8,329 |
8,169 |
$443K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
3,292 |
3,246 |
$197K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,442 |
2,423 |
$147K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
2,160 |
2,125 |
$144K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
1,782 |
1,765 |
$136K |
| 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 |
808 |
801 |
$88K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
386 |
382 |
$87K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,563 |
1,558 |
$78K |
| A4575 |
Topical hyperbaric oxygen chamber, disposable |
12 |
12 |
$70K |
| 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 |
271 |
264 |
$36K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
156 |
154 |
$18K |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
129 |
127 |
$13K |
| L0150 |
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
67 |
67 |
$6K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
761 |
749 |
$6K |
| L3260 |
Surgical boot/shoe, each |
196 |
193 |
$2K |
| A4565 |
Slings |
184 |
182 |
$1K |