| 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 |
8,795 |
8,554 |
$1.07M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
4,368 |
4,222 |
$478K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
9,599 |
9,171 |
$472K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,548 |
1,490 |
$392K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
11,111 |
10,710 |
$261K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
3,053 |
2,970 |
$258K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
9,387 |
8,953 |
$254K |
| 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 |
2,796 |
2,582 |
$185K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,921 |
2,770 |
$129K |
| L3260 |
Surgical boot/shoe, each |
6,192 |
5,635 |
$117K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
3,238 |
3,035 |
$116K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,261 |
2,216 |
$91K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,625 |
1,567 |
$70K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, 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 pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
1,306 |
1,257 |
$41K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
828 |
691 |
$24K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
63 |
63 |
$13K |
| A4565 |
Slings |
1,125 |
1,068 |
$6K |
| K0006 |
Heavy duty wheelchair |
90 |
55 |
$5K |
| K0001 |
Standard wheelchair |
149 |
113 |
$4K |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
47 |
44 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
12 |
12 |
$488.56 |
| A9270 |
Non-covered item or service |
102 |
96 |
$0.00 |