| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
3,339 |
2,922 |
$782K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
4,152 |
3,495 |
$201K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,383 |
1,179 |
$140K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
4,369 |
4,038 |
$128K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
446 |
427 |
$96K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
227 |
212 |
$80K |
| 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 |
622 |
563 |
$63K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,061 |
958 |
$53K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
710 |
656 |
$41K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
684 |
645 |
$36K |
| L2112 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment |
119 |
117 |
$23K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
355 |
333 |
$16K |
| L3260 |
Surgical boot/shoe, each |
1,057 |
968 |
$14K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
226 |
153 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
158 |
129 |
$7K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
79 |
64 |
$5K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
35 |
35 |
$5K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
17 |
13 |
$2K |
| A4565 |
Slings |
102 |
99 |
$4.59 |