| 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 |
60 |
59 |
$57K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
13 |
12 |
$4K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
45 |
28 |
$3K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
26 |
25 |
$703.08 |