| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
106,011 |
104,538 |
$6.44M |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
11,107 |
10,955 |
$1.52M |
| 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 |
1,375 |
1,373 |
$772K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,683 |
1,489 |
$598K |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
2,218 |
2,162 |
$522K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
6,786 |
6,596 |
$513K |
| T4541 |
Incontinence product, disposable underpad, large, each |
8,751 |
8,263 |
$483K |
| K0001 |
Standard wheelchair |
15,731 |
15,419 |
$466K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,733 |
5,291 |
$387K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
8,091 |
7,868 |
$359K |
| K0003 |
Lightweight wheelchair |
7,387 |
7,234 |
$311K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
1,439 |
1,437 |
$256K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,333 |
3,125 |
$250K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,463 |
3,276 |
$195K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,485 |
2,280 |
$186K |
| A4670 |
Automatic blood pressure monitor |
3,433 |
3,349 |
$185K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
3,264 |
3,252 |
$178K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
4,772 |
3,221 |
$172K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,347 |
1,017 |
$156K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
1,625 |
1,507 |
$131K |
| K0006 |
Heavy duty wheelchair |
1,871 |
1,842 |
$126K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
448 |
437 |
$126K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,394 |
1,306 |
$125K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,576 |
1,513 |
$121K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,303 |
1,215 |
$112K |
| E0156 |
Seat attachment, walker |
7,510 |
7,295 |
$86K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,406 |
1,396 |
$70K |
| A4927 |
Gloves, non-sterile, per 100 |
2,667 |
2,365 |
$68K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,007 |
965 |
$66K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
340 |
329 |
$60K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
969 |
968 |
$60K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,513 |
1,481 |
$55K |
| E0310 |
Bed side rails, full length |
2,516 |
2,507 |
$41K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
432 |
420 |
$37K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
1,500 |
1,486 |
$34K |
| L1851 |
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
93 |
69 |
$33K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
211 |
204 |
$32K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
952 |
849 |
$31K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,349 |
1,326 |
$29K |
| E0271 |
Mattress, innerspring |
814 |
801 |
$26K |
| E0244 |
Raised toilet seat |
791 |
766 |
$25K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
463 |
462 |
$23K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
2,424 |
2,417 |
$23K |
| A4554 |
Disposable underpads, all sizes |
227 |
210 |
$16K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
180 |
180 |
$14K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
513 |
509 |
$13K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
68 |
67 |
$12K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
243 |
235 |
$11K |
| E1639 |
Scale, each |
249 |
248 |
$10K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
369 |
363 |
$8K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
82 |
82 |
$5K |
| L0457 |
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf |
13 |
13 |
$4K |
| E0241 |
Bath tub wall rail, each |
359 |
346 |
$4K |
| E0210 |
Electric heat pad, standard |
240 |
240 |
$4K |
| E0277 |
Powered pressure-reducing air mattress |
198 |
196 |
$4K |
| E0305 |
Bed side rails, half length |
402 |
401 |
$3K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
166 |
141 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
118 |
118 |
$2K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
32 |
28 |
$2K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
30 |
28 |
$2K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
86 |
86 |
$2K |
| E0635 |
Patient lift, electric with seat or sling |
24 |
24 |
$2K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
174 |
173 |
$2K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, 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 pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
65 |
65 |
$1K |
| 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 |
17 |
13 |
$941.79 |
| E0215 |
Electric heat pad, moist |
16 |
16 |
$870.08 |
| E0190 |
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories |
34 |
34 |
$849.57 |
| E0245 |
Tub stool or bench |
15 |
15 |
$572.73 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
38 |
38 |
$557.08 |
| E0246 |
Transfer tub rail attachment |
27 |
26 |
$513.98 |
| A5120 |
Skin barrier, wipes or swabs, each |
25 |
24 |
$427.18 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,065 |
1,827 |
$315.10 |
| A4335 |
Incontinence supply; miscellaneous |
1,688 |
1,574 |
$51.19 |