| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
68 |
34 |
$2K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
73 |
37 |
$943.66 |
| 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 |
26 |
13 |
$626.32 |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
42 |
21 |
$517.27 |