| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L6694 |
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism |
131 |
110 |
$3K |
| L3671 |
Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
42 |
41 |
$3K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
28 |
28 |
$2K |
| E0210 |
Electric heat pad, standard |
81 |
81 |
$70.72 |