| 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 |
186,895 |
163,241 |
$25.70M |
| E0748 |
Osteogenesis stimulator, electrical, non-invasive, spinal applications |
13,154 |
10,961 |
$21.57M |
| E0747 |
Osteogenesis stimulator, electrical, non-invasive, other than spinal applications |
7,494 |
6,638 |
$14.27M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
38,905 |
33,823 |
$10.77M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
60,928 |
53,441 |
$6.55M |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
36,396 |
33,520 |
$6.41M |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
169,232 |
142,212 |
$5.23M |
| 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 |
8,305 |
6,595 |
$4.28M |
| 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 |
10,670 |
8,618 |
$4.10M |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
65,846 |
59,128 |
$3.08M |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
104,023 |
96,573 |
$3.03M |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
65,345 |
56,678 |
$2.59M |
| 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 |
38,676 |
32,671 |
$2.46M |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
49,527 |
40,691 |
$2.43M |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
19,439 |
17,178 |
$1.63M |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
3,272 |
2,927 |
$1.57M |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
31,001 |
27,528 |
$1.46M |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
31,338 |
25,512 |
$1.27M |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
26,408 |
23,225 |
$1.13M |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
18,042 |
16,112 |
$900K |
| L3761 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf |
3,716 |
3,293 |
$801K |
| L3260 |
Surgical boot/shoe, each |
38,789 |
32,332 |
$669K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
14,761 |
12,326 |
$546K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
2,499 |
2,246 |
$434K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
5,709 |
4,410 |
$422K |
| 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 |
4,808 |
4,047 |
$371K |
| 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 |
3,202 |
2,938 |
$365K |
| L1686 |
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment |
750 |
638 |
$337K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
7,233 |
6,553 |
$266K |
| L0464 |
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
273 |
248 |
$211K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
10,609 |
9,820 |
$204K |
| L3980 |
Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment |
1,274 |
1,149 |
$197K |
| 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 |
669 |
612 |
$164K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
4,961 |
3,848 |
$159K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
4,977 |
3,864 |
$158K |
| A4565 |
Slings |
25,273 |
22,332 |
$150K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
1,326 |
1,148 |
$149K |
| 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 |
505 |
394 |
$138K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
7,584 |
5,454 |
$121K |
| L3265 |
Plastazote sandal, each |
8,521 |
6,635 |
$109K |
| 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 |
937 |
868 |
$91K |
| 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 |
1,726 |
1,533 |
$89K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
187 |
150 |
$69K |
| L1620 |
Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
710 |
666 |
$63K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
2,247 |
2,039 |
$61K |
| L3675 |
Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf |
653 |
606 |
$57K |
| L3170 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each |
2,487 |
2,072 |
$50K |
| L3762 |
Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf |
754 |
585 |
$44K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
1,370 |
1,208 |
$42K |
| L1660 |
Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment |
311 |
288 |
$28K |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
371 |
339 |
$23K |
| L0120 |
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) |
1,696 |
1,554 |
$21K |
| L1845 |
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, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
51 |
40 |
$20K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
1,520 |
1,448 |
$18K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
144 |
105 |
$14K |
| A4570 |
Splint |
1,449 |
1,266 |
$13K |
| 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 |
137 |
131 |
$12K |
| E0218 |
Fluid circulating cold pad with pump, any type |
171 |
161 |
$12K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
247 |
225 |
$10K |
| 99070 |
|
264 |
93 |
$10K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
159 |
146 |
$8K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
246 |
226 |
$7K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
13 |
13 |
$6K |
| L3760 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
31 |
28 |
$5K |
| L0150 |
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
85 |
77 |
$3K |
| A9270 |
Non-covered item or service |
2,033 |
1,376 |
$3K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
240 |
205 |
$3K |
| 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 |
105 |
70 |
$2K |
| L3999 |
Upper limb orthosis, not otherwise specified |
74 |
69 |
$2K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
14 |
14 |
$952.54 |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
13 |
$815.00 |
| L0641 |
Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
30 |
28 |
$734.61 |
| S9999 |
Sales tax |
156 |
87 |
$459.53 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
23 |
13 |
$168.33 |