| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
2,983 |
2,885 |
$1.06M |
| 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 |
914 |
843 |
$77K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,260 |
1,174 |
$67K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,422 |
1,266 |
$61K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
127 |
113 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
78 |
77 |
$2K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
35 |
29 |
$1K |