| Code | Description | Claims | Beneficiaries | Total Paid |
| L2624 |
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each |
193 |
128 |
$8K |
| L1690 |
Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment |
43 |
42 |
$4K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
16 |
16 |
$4K |
| L1686 |
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment |
30 |
29 |
$2K |