| 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 |
8,368 |
8,017 |
$1.76M |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,722 |
1,636 |
$693K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
3,342 |
3,132 |
$547K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
8,975 |
7,692 |
$399K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
3,057 |
2,944 |
$247K |
| 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 |
1,528 |
1,362 |
$147K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
813 |
774 |
$102K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
1,710 |
1,567 |
$102K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,227 |
1,153 |
$75K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
568 |
531 |
$49K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,215 |
1,174 |
$43K |
| L3260 |
Surgical boot/shoe, each |
1,725 |
1,593 |
$42K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
627 |
498 |
$35K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
324 |
304 |
$20K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
369 |
360 |
$19K |
| 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 |
85 |
82 |
$19K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
12 |
12 |
$4K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
81 |
65 |
$3K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
13 |
13 |
$1K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
26 |
26 |
$1K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
38 |
37 |
$583.86 |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
34 |
26 |
$90.00 |