Top 25 Most Common Prosthetics by Claims Volume 

More than 2.1 million people in the U.S. were living with limb loss in 2021. This number is expected to double by 2050, indicating new opportunities for prosthetic developers and specialists to help improve health outcomes for people living with an amputated limb. For many, a prosthetic limb offers improved mobility and a means to stay independent and active in one’s community.  

What is limb loss? 

Limb loss, or amputation, may occur through a congenital defect, accident, traumatic injury, or illness. The main illness-related causes of limb loss are vascular diseases, such as diabetes.  

By the end of 2021, more than 262,000 claims for limb amputation were submitted, according to Definitive Healthcare data from ClaimsMx.  

Below, we've compiled a list of the most common prosthetics by total claims volume. 

25 Most common prosthetics by claims volume, 2021

Rank 

HCPCS/CPT Code 

HCPCS/CPT Description 

# Total Procedures 

Total Charges 

Avg Charge/Procedure 

L8699 

Prosthetic implant, not otherwise specified

191,178 

$643,896,514  

$3,368  

L8000 

Mastectomy bra 

8,495 

$1,694,849  

$200  

L8680 

Implantable neurostimulator electrode each 

8,131 

$130,117,549  

$16,003  

L8612 

Aqueous shunt prosthesis 

6,292 

$17,530,621  

$2,786  

L8600 

Implant breast silicone/eq 

6,034 

$33,243,667  

$5,509  

L8610 

Ocular implant 

4,741 

$4,740,133  

$1,000  

L8606 

Synthetic implant urinary 1ml 

3,490 

$9,092,328  

$2,605  

L8613 

Ossicular implant 

3,352 

$3,327,822  

$993  

L8420 

Prosthetic sock multiple ply below knee

3,229 

$561,798  

$174  

10 

L8030 

Breast prostheses w/o adhesive 

2,957 

$1,783,803  

$603  

11 

L8614 

Cochlear device 

2,677 

$208,664,499  

$77,947  

12 

L8470 

Prosthetic sock single ply below knee

2,334 

$135,774  

$58  

13 

L8509 

Tracheo-esophageal voice prosthesis

2,188 

$2,367,909  

$1,082  

14 

L8687 

Implantable neurostimulator pulse generator, dual array, rechargeable

1,841 

$76,764,921  

$41,697  

15 

L8440 

Shrinker below knee 

1,747 

$213,840  

$122  

16 

L8689 

External recharging system for battery (internal)

935 

$5,772,740  

$6,174  

17 

L8690 

Auditory osseointegrated device, includes all internal and external components

934 

$19,042,011  

$20,388  

18 

L8400 

Sheath below knee 

885 

$123,966  

$140  

19 

L8015 

External breast prosthesis garment 

810 

$155,136  

$192  

20 

L8681 

Patient programmer for use with implantable programmable neurostimulator 

770 

$2,104,132  

$2,733  

21 

L8679 

Implantable Neurostimulator, Pulse Generator, Any Type

752 

$26,051,531  

$34,643  

22 

L8430 

Prosthetic sock, multiple ply, above knee

675 

$145,207  

$215  

23 

L8641 

Metatarsal joint implant 

633 

$2,997,798  

$4,736  

24 

L8688 

Implantable neurostimulator pulse generator, dual array, non-rechargeable

605 

$24,725,259  

$40,868  

25 

L8686 

Implantable neurostimulator pulse generator, single array, non-rechargeable 

563 

$24,070,099  

$42,753  

Fig 1. Data is from Definitive Healthcare’s Medical Claims database. Claims volumes are from the calendar year 2021 and are sourced from multiple clearinghouses. Procedure volumes were gathered from individual physicians across facility types. Accessed Jan. 2022.  

The top two most common prosthetic categories 

It's evident that the most common prosthetics fall into two categories: 

Breast Prostheses 

Of the top 25 most common prosthetics in 2021, more than 18,000 breast implant and similar procedures were performed. This includes external breast prosthesis garment (L8015), breast prostheses w/o adhesive (L8030) and more.  
 
The number of women choosing to have mastectomies is holding steady in the United States. Using claims data, Definitive Healthcare tracked over 50,000 mastectomies in 2021. There were 51,000 procedures in 2020 and 53,000 in 2019. 
 
Many women who choose mastectomies hope to avoid radiation treatments, biopsies, and mammograms. Following a mastectomy, some women choose breast reconstruction. 
 
If a patient decides that breast reconstruction isn’t for them, a prosthesis or breast form can help them look balanced without surgery. Breast prostheses come in a variety of shapes, sizes, and materials. Common prosthetic fillings include silicone gel, foam, and fiberfill. Foam and fiberfill are lightweight options, while silicone is a more realistic option. Silicone prostheses (L8600) were another common procedure in 2021, totaling 6,034 procedures.  

Leg Prostheses 

Below-the-knee prosthetic parts and sockets saw some of the highest claim volumes. This includes accessories like prosthetic socks (L8420 and L8470) with 3,229 and 2,334 procedures performed in 2021 respectively.  

Below-the-knee, or transtibial, prosthetics attach to the upper leg, just below the knee. They are fit with a socket, which is carefully molded around a plaster cast taken from the residual limb. 
 
Above knee, or transfemoral, prosthetics are for patients who have had all or part of their upper legs amputated. This includes HCPCS L8430, which is a prosthetic sock above knee prosthetic with 675 procedures performed in 2021. Above-the-knee prosthetics can be more difficult to use than below the knee prosthetics. An intact knee joint makes movement easier for a patient, meaning less time is needed to adjust to a prosthetic. 

Whether a leg prosthesis is “right” for a patient depends on several factors. Some of which include: 

  • The amount of soft tissue covering the femur 
  • If the patient feels significant pain in this area 
  • The condition of the skin on the residual limb 
  • Range of motion for the residual limb 
  • Patient activity level before the amputation 

Who uses prosthetic data? 

There are many reasons to leverage data on amputations and prosthetics. Medical device companies can use this information to assess the competitive market and identify displacement opportunities. They can also identify where competing devices are being used and avoid those regions—or develop specialized value propositions. 
 
Healthcare staffing firms can also use prosthetics data. If a firm needs to place a surgeon, they can find the facilities performing the highest amputation volumes. Additionally, if a candidate has experience with specific prosthetic types, a firm can analyze outcomes at facilities using those devices. Then they can identify facilities that would most benefit from a surgical specialist. 

Learn more 

Want even more insights? Start a free trial now and get access to the highest quality healthcare commercial intelligence on hospitals, physicians and more. 

Explore our data