| 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 |
9,995 |
9,560 |
$1.26M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
5,523 |
5,302 |
$521K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,612 |
1,486 |
$408K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
7,988 |
7,529 |
$357K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
10,938 |
9,864 |
$276K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
3,779 |
3,413 |
$137K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
3,577 |
3,383 |
$128K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
2,729 |
2,583 |
$123K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
8,015 |
7,014 |
$109K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
2,190 |
2,021 |
$89K |
| 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 |
1,300 |
1,245 |
$75K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
398 |
322 |
$33K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
434 |
418 |
$20K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
1,279 |
1,182 |
$19K |
| L0150 |
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
428 |
316 |
$11K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
230 |
136 |
$8K |
| L3260 |
Surgical boot/shoe, each |
1,159 |
866 |
$5K |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
109 |
98 |
$5K |
| A4565 |
Slings |
1,218 |
1,096 |
$4K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
42 |
41 |
$4K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
17 |
13 |
$601.25 |