| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
3,034 |
2,573 |
$75K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
1,425 |
1,278 |
$73K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
1,153 |
1,009 |
$60K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
816 |
701 |
$31K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
287 |
243 |
$9K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
236 |
102 |
$9K |
| L3260 |
Surgical boot/shoe, each |
462 |
388 |
$8K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
155 |
52 |
$7K |
| L2250 |
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment |
19 |
12 |
$4K |