| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
2,078 |
2,036 |
$812K |
| E2510 |
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access |
132 |
131 |
$667K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
3,272 |
3,240 |
$506K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
1,265 |
1,225 |
$496K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
1,638 |
1,631 |
$309K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
1,245 |
1,234 |
$242K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
2,670 |
2,440 |
$231K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
4,135 |
3,564 |
$175K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,237 |
1,235 |
$150K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
583 |
367 |
$119K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
844 |
803 |
$113K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
2,239 |
2,194 |
$101K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on 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 |
133 |
133 |
$90K |
| 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 |
373 |
372 |
$61K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,930 |
1,921 |
$54K |
| 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 |
204 |
203 |
$51K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
111 |
110 |
$46K |
| E0570 |
Nebulizer, with compressor |
1,608 |
1,592 |
$41K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
446 |
440 |
$39K |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
527 |
524 |
$30K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
492 |
489 |
$28K |
| A4670 |
Automatic blood pressure monitor |
473 |
470 |
$26K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
724 |
509 |
$22K |
| K0003 |
Lightweight wheelchair |
484 |
481 |
$22K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
193 |
193 |
$11K |
| 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 |
19 |
19 |
$11K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
26 |
26 |
$7K |
| 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 |
16 |
16 |
$5K |
| 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 |
28 |
28 |
$4K |
| K0001 |
Standard wheelchair |
93 |
93 |
$3K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
63 |
40 |
$3K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
90 |
90 |
$2K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
46 |
37 |
$2K |
| L3260 |
Surgical boot/shoe, each |
37 |
37 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
103 |
103 |
$1K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
27 |
27 |
$1K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
85 |
85 |
$1K |
| A6583 |
Gradient compression wrap with adjustable straps, below knee, each |
26 |
13 |
$982.76 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
76 |
75 |
$692.24 |
| E0156 |
Seat attachment, walker |
40 |
40 |
$503.27 |