| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0935 |
Continuous passive motion exercise device for use on knee only |
2,282 |
1,283 |
$126K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
823 |
547 |
$108K |
| E0673 |
Segmental gradient pressure pneumatic appliance, half leg |
837 |
358 |
$28K |
| E0675 |
Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) |
628 |
423 |
$12K |
| E0650 |
Pneumatic compressor, non-segmental home model |
1,163 |
803 |
$10K |
| E0249 |
Pad for water circulating heat unit, for replacement only |
994 |
670 |
$9K |
| E0236 |
Pump for water circulating pad |
1,318 |
913 |
$5K |
| E0188 |
Synthetic sheepskin pad |
545 |
369 |
$2K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
1,722 |
1,231 |
$619.85 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
12 |
$452.32 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
27 |
12 |
$311.68 |
| E0218 |
Fluid circulating cold pad with pump, any type |
304 |
237 |
$0.00 |