| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
22,965 |
20,414 |
$4.32M |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
26,017 |
20,786 |
$3.70M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
5,221 |
4,270 |
$2.41M |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
47,146 |
37,778 |
$1.63M |
| 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 |
2,273 |
1,749 |
$1.56M |
| 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 |
2,850 |
2,442 |
$1.35M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
9,942 |
7,621 |
$1.21M |
| 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 |
16,299 |
13,467 |
$1.18M |
| 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 |
7,233 |
6,309 |
$1.14M |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
22,158 |
18,671 |
$1.10M |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
32,250 |
27,717 |
$1.03M |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
3,980 |
3,377 |
$962K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
15,056 |
12,924 |
$868K |
| 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 |
5,419 |
4,713 |
$606K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
8,461 |
7,287 |
$541K |
| 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 |
6,215 |
5,246 |
$514K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
6,724 |
5,221 |
$475K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
6,699 |
5,807 |
$429K |
| L3260 |
Surgical boot/shoe, each |
11,903 |
9,941 |
$350K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
4,200 |
3,576 |
$298K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
4,062 |
3,570 |
$202K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
2,028 |
1,625 |
$182K |
| 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 |
317 |
268 |
$172K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
2,119 |
1,701 |
$130K |
| L2755 |
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
1,573 |
1,176 |
$111K |
| L3265 |
Plastazote sandal, each |
1,943 |
1,590 |
$89K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
2,026 |
1,751 |
$72K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
1,459 |
1,166 |
$59K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,224 |
978 |
$52K |
| 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 |
1,061 |
835 |
$52K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
776 |
654 |
$48K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
1,875 |
1,613 |
$44K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
777 |
656 |
$43K |
| E0748 |
Osteogenesis stimulator, electrical, non-invasive, spinal applications |
13 |
13 |
$40K |
| 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 |
84 |
62 |
$23K |
| 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 |
39 |
36 |
$10K |
| 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 |
86 |
71 |
$9K |
| A4565 |
Slings |
2,039 |
1,794 |
$8K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
47 |
25 |
$5K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
287 |
266 |
$3K |
| 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 |
28 |
25 |
$3K |
| L3761 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf |
13 |
12 |
$3K |
| 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 |
23 |
13 |
$2K |
| L3675 |
Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf |
15 |
12 |
$1K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
217 |
206 |
$839.36 |
| A9270 |
Non-covered item or service |
39 |
24 |
$181.68 |