| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
32 |
26 |
$2K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
12 |
12 |
$234.22 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
32 |
26 |
$208.06 |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
32 |
26 |
$159.88 |