| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0745 |
Neuromuscular stimulator, electronic shock unit |
303 |
303 |
$3K |
| L1844 |
Knee orthosis, 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, custom fabricated |
50 |
38 |
$2K |
| L1843 |
Knee orthosis, 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
16 |
12 |
$615.86 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
97 |
70 |
$76.98 |