| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
12,039 |
10,667 |
$2.95M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
3,847 |
3,372 |
$1.54M |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
984 |
621 |
$450K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
5,869 |
4,407 |
$303K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
665 |
581 |
$253K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
3,352 |
2,468 |
$212K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
2,781 |
2,052 |
$172K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
27,114 |
17,155 |
$166K |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
509 |
423 |
$148K |
| K0002 |
Standard hemi (low seat) wheelchair |
3,453 |
2,595 |
$34K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
3,170 |
2,229 |
$28K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
876 |
692 |
$24K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
117 |
70 |
$15K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
866 |
693 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,548 |
1,154 |
$8K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
1,202 |
831 |
$7K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
370 |
248 |
$5K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
41 |
25 |
$4K |
| E0156 |
Seat attachment, walker |
625 |
450 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
155 |
99 |
$2K |
| K0001 |
Standard wheelchair |
288 |
231 |
$1K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
41 |
24 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
199 |
161 |
$938.24 |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
16 |
14 |
$822.08 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
776 |
517 |
$745.36 |
| E0601 |
Continuous positive airway pressure (cpap) device |
41 |
26 |
$477.85 |
| K0003 |
Lightweight wheelchair |
67 |
60 |
$215.05 |
| E0570 |
Nebulizer, with compressor |
48 |
24 |
$32.52 |