| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 2 | 50 | 80 | $150 | $1.2M |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 2 | 10 | 320 | $180 | $961.8K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 7 | 10 | 330 | $50 | $828.7K |
| 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,… | 3 | 10 | 40 | $510 | $724.1K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 2 | 30 | 150 | $120 | $716.3K |
| 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… | 2 | 10 | 70 | $390 | $704.5K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 3 | 40 | 30 | $300 | $597.8K |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 2 | 10 | 300 | $90 | $468.3K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 1 | 20 | 50 | $50 | $420.2K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 2 | 10 | 110 | $40 | $313.6K |