| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
8,129 |
7,114 |
$241K |
| 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 |
905 |
798 |
$155K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,583 |
2,235 |
$136K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
802 |
707 |
$135K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
2,446 |
2,128 |
$124K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,276 |
1,119 |
$87K |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
3,335 |
2,983 |
$85K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,204 |
1,856 |
$82K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,213 |
1,891 |
$63K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
1,233 |
1,060 |
$15K |
| 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 |
46 |
45 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
59 |
55 |
$2K |
| L3260 |
Surgical boot/shoe, each |
44 |
40 |
$628.29 |