| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
8,732 |
8,639 |
$2.62M |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
2,216 |
1,603 |
$1.15M |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,393 |
1,104 |
$958K |
| 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 |
2,225 |
2,171 |
$808K |
| L2280 |
Addition to lower extremity, molded inner boot |
2,492 |
1,718 |
$702K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
10,799 |
9,674 |
$517K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,942 |
2,788 |
$387K |
| 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 |
4,580 |
4,280 |
$321K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
2,349 |
1,598 |
$299K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
7,235 |
6,721 |
$275K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
8,285 |
7,479 |
$265K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
3,643 |
2,707 |
$260K |
| L1843 |
Knee orthosis, 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
682 |
611 |
$250K |
| 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 |
1,378 |
1,310 |
$172K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
467 |
456 |
$147K |
| 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 |
1,460 |
1,449 |
$126K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
318 |
228 |
$125K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,979 |
2,921 |
$115K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
439 |
437 |
$115K |
| 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 |
687 |
682 |
$108K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
901 |
864 |
$93K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
478 |
425 |
$88K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
294 |
294 |
$68K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
961 |
958 |
$58K |
| 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 |
117 |
116 |
$51K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
2,198 |
2,180 |
$42K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
782 |
717 |
$38K |
| L0651 |
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf |
99 |
98 |
$32K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
637 |
630 |
$31K |
| 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 |
69 |
69 |
$26K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
409 |
314 |
$20K |
| L3260 |
Surgical boot/shoe, each |
1,024 |
958 |
$17K |
| L0627 |
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
90 |
90 |
$16K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
1,740 |
1,727 |
$16K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
480 |
479 |
$16K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
334 |
328 |
$12K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
69 |
68 |
$12K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
173 |
150 |
$11K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
192 |
163 |
$7K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
234 |
179 |
$5K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
54 |
50 |
$3K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
19 |
18 |
$2K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
38 |
29 |
$1K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
15 |
12 |
$713.19 |
| L0999 |
Addition to spinal orthosis, not otherwise specified |
14 |
13 |
$602.22 |
| 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 |
15 |
14 |
$495.17 |