| 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 |
5,035 |
4,696 |
$750K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
5,750 |
5,371 |
$507K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
15,720 |
13,958 |
$446K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
8,749 |
8,228 |
$337K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
11,899 |
11,380 |
$311K |
| 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 |
4,108 |
3,759 |
$297K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
6,203 |
5,646 |
$257K |
| E0570 |
Nebulizer, with compressor |
4,030 |
3,825 |
$191K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
279 |
263 |
$77K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
591 |
563 |
$74K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,597 |
2,443 |
$71K |
| L3260 |
Surgical boot/shoe, each |
8,259 |
7,682 |
$68K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,174 |
2,076 |
$60K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
1,492 |
1,383 |
$55K |
| A4565 |
Slings |
8,803 |
8,584 |
$50K |
| 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 |
942 |
924 |
$50K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
4,028 |
3,823 |
$48K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,389 |
1,286 |
$32K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
4,343 |
4,099 |
$28K |
| 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 |
775 |
745 |
$6K |
| L0140 |
Cervical, semi-rigid, adjustable (plastic collar) |
251 |
240 |
$6K |
| L1850 |
Knee orthosis, swedish type, prefabricated, off-the-shelf |
49 |
42 |
$4K |
| 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 |
113 |
103 |
$3K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
46 |
40 |
$3K |
| L4386 |
Walking boot, non-pneumatic, 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 |
115 |
114 |
$3K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
296 |
220 |
$3K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
228 |
200 |
$640.77 |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
13 |
$30.90 |
| L3927 |
Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf |
40 |
38 |
$12.59 |