| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0745 |
Neuromuscular stimulator, electronic shock unit |
3,042 |
2,326 |
$424K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,362 |
1,174 |
$362K |
| E0652 |
Pneumatic compressor, segmental home model with calibrated gradient pressure |
1,044 |
960 |
$338K |
| L3915 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,508 |
771 |
$297K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
2,788 |
1,992 |
$217K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,320 |
862 |
$201K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
1,181 |
708 |
$97K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
699 |
664 |
$65K |
| 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 |
200 |
174 |
$56K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
449 |
322 |
$46K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
1,555 |
1,001 |
$44K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,676 |
2,108 |
$26K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
218 |
112 |
$25K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
2,570 |
1,952 |
$20K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
236 |
184 |
$8K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
80 |
73 |
$8K |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
2,253 |
1,698 |
$5K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
60 |
58 |
$3K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
13 |
13 |
$2K |
| L0631 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 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 |
13 |
12 |
$806.10 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
90 |
58 |
$315.62 |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
13 |
13 |
$310.80 |