| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2280 |
Addition to lower extremity, molded inner boot |
3,101 |
1,549 |
$915K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
4,576 |
4,271 |
$891K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,086 |
576 |
$478K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
762 |
688 |
$303K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
3,819 |
1,899 |
$302K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,540 |
1,415 |
$249K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
1,923 |
1,034 |
$232K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
658 |
348 |
$202K |
| 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 |
2,938 |
2,615 |
$202K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
6,020 |
4,679 |
$196K |
| L0627 |
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
511 |
482 |
$127K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,594 |
2,348 |
$115K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
508 |
472 |
$112K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
880 |
806 |
$74K |
| 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 |
392 |
344 |
$52K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
263 |
208 |
$49K |
| 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 |
310 |
274 |
$41K |
| 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 |
97 |
79 |
$38K |
| 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 |
152 |
137 |
$36K |
| 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 |
326 |
295 |
$24K |
| L3260 |
Surgical boot/shoe, each |
1,063 |
974 |
$19K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
300 |
199 |
$15K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
26 |
24 |
$14K |
| 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 |
13 |
13 |
$12K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
279 |
261 |
$9K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
1,261 |
568 |
$9K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
303 |
158 |
$9K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
63 |
24 |
$6K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
154 |
67 |
$6K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
72 |
39 |
$5K |
| 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 |
43 |
39 |
$5K |
| L2232 |
Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only |
69 |
38 |
$4K |
| L2220 |
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint |
22 |
15 |
$1K |
| E0188 |
Synthetic sheepskin pad |
80 |
68 |
$1K |
| A4565 |
Slings |
181 |
170 |
$655.48 |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
52 |
52 |
$530.79 |