| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
247 |
244 |
$40K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
150 |
144 |
$36K |
| 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 |
215 |
214 |
$24K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
83 |
77 |
$4K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
142 |
136 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
27 |
27 |
$536.18 |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
21 |
19 |
$436.08 |