| 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 |
88,521 |
81,949 |
$14.27M |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
52,754 |
48,578 |
$6.35M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
15,704 |
14,225 |
$4.58M |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
142,997 |
134,082 |
$4.53M |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
78,973 |
72,350 |
$3.78M |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
94,828 |
82,508 |
$3.10M |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
38,923 |
36,018 |
$1.92M |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
29,848 |
27,647 |
$1.52M |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
27,243 |
25,006 |
$1.23M |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
11,354 |
10,275 |
$1.02M |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
21,187 |
18,999 |
$999K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
18,782 |
17,545 |
$753K |
| L1852 |
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
1,887 |
1,564 |
$701K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,256 |
1,077 |
$601K |
| 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 |
7,485 |
6,755 |
$464K |
| L3761 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf |
1,313 |
1,224 |
$334K |
| E0218 |
Fluid circulating cold pad with pump, any type |
1,167 |
1,039 |
$269K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
1,983 |
1,802 |
$250K |
| L0172 |
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
4,095 |
3,763 |
$245K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
14,375 |
12,509 |
$216K |
| L0150 |
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
3,222 |
3,034 |
$187K |
| L1851 |
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
616 |
458 |
$174K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
3,308 |
3,305 |
$164K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
1,569 |
1,400 |
$164K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
942 |
878 |
$161K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
1,004 |
930 |
$159K |
| L3260 |
Surgical boot/shoe, each |
11,732 |
10,112 |
$128K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
1,659 |
1,423 |
$123K |
| A4565 |
Slings |
16,878 |
15,502 |
$104K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
123 |
118 |
$104K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
2,896 |
2,477 |
$104K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
312 |
285 |
$103K |
| L2780 |
Addition to lower extremity orthosis, non-corrosive finish, per bar |
1,462 |
1,212 |
$90K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
1,571 |
1,534 |
$89K |
| 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 |
582 |
511 |
$66K |
| L0464 |
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
73 |
69 |
$52K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
1,367 |
1,142 |
$52K |
| 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 |
452 |
402 |
$49K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
1,492 |
1,366 |
$45K |
| L1845 |
Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
110 |
78 |
$42K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
328 |
221 |
$39K |
| L0457 |
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf |
157 |
138 |
$38K |
| L0120 |
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) |
2,535 |
2,368 |
$33K |
| L1846 |
Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated |
46 |
42 |
$31K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
2,091 |
1,982 |
$26K |
| L3170 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each |
881 |
687 |
$20K |
| A4570 |
Splint |
1,799 |
1,629 |
$15K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
68 |
65 |
$14K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
773 |
763 |
$13K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, 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 padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
59 |
54 |
$10K |
| L1821 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf |
186 |
174 |
$9K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
74 |
74 |
$8K |
| E0155 |
Wheel attachment, rigid pick-up walker, per pair |
413 |
361 |
$5K |
| L3762 |
Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf |
89 |
73 |
$5K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
132 |
115 |
$4K |
| L2425 |
Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint |
61 |
44 |
$4K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
41 |
39 |
$3K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
73 |
59 |
$3K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
41 |
39 |
$2K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
41 |
39 |
$2K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
79 |
64 |
$2K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
32 |
29 |
$2K |
| L2999 |
Lower extremity orthoses, not otherwise specified |
88 |
80 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
12 |
12 |
$1K |
| L1620 |
Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$843.86 |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
14 |
14 |
$575.47 |
| L0140 |
Cervical, semi-rigid, adjustable (plastic collar) |
27 |
26 |
$393.77 |
| L3650 |
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf |
15 |
13 |
$392.72 |
| A9270 |
Non-covered item or service |
589 |
522 |
$387.00 |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
12 |
12 |
$96.57 |