| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
793 |
730 |
$713K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
750 |
594 |
$399K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,193 |
1,038 |
$185K |
| E0570 |
Nebulizer, with compressor |
752 |
730 |
$78K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, 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 padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
532 |
339 |
$73K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
101 |
83 |
$19K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
21 |
13 |
$9K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
266 |
260 |
$4K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
43 |
30 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
705 |
682 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
688 |
665 |
$677.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
45 |
45 |
$447.03 |
| A4286 |
Locking ring for breast pump, replacement |
24 |
24 |
$0.00 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
24 |
24 |
$0.00 |
| A4281 |
Tubing for breast pump, replacement |
24 |
24 |
$0.00 |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
24 |
24 |
$0.00 |
| A4282 |
Adapter for breast pump, replacement |
24 |
24 |
$0.00 |
| A4283 |
Cap for breast pump bottle, replacement |
24 |
24 |
$0.00 |