| 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 |
7,295 |
6,589 |
$1.16M |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
9,215 |
8,097 |
$599K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
3,528 |
3,178 |
$490K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
9,670 |
8,820 |
$297K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
6,801 |
5,794 |
$208K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,905 |
2,623 |
$170K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,176 |
1,980 |
$105K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
1,363 |
1,172 |
$92K |
| 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 |
1,069 |
984 |
$82K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
1,206 |
1,082 |
$64K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
197 |
151 |
$20K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
78 |
70 |
$18K |
| L3260 |
Surgical boot/shoe, each |
606 |
510 |
$5K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
15 |
13 |
$3K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
22 |
21 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
29 |
28 |
$870.65 |
| A4565 |
Slings |
88 |
84 |
$488.63 |