| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,409 |
2,201 |
$316K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,961 |
1,785 |
$207K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
889 |
799 |
$79K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
996 |
822 |
$75K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
310 |
276 |
$62K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,418 |
2,084 |
$53K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
526 |
491 |
$19K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
402 |
376 |
$19K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,092 |
1,007 |
$18K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
12 |
12 |
$17K |
| 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 |
505 |
462 |
$16K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
189 |
174 |
$10K |
| L3260 |
Surgical boot/shoe, each |
312 |
259 |
$6K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
70 |
70 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
151 |
123 |
$5K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
165 |
156 |
$4K |
| E0676 |
Intermittent limb compression device (includes all accessories), not otherwise specified |
1,527 |
1,473 |
$3K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
139 |
138 |
$2K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
32 |
29 |
$1K |
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
12 |
12 |
$919.97 |
| 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 |
12 |
12 |
$827.05 |
| A4565 |
Slings |
152 |
133 |
$669.97 |
| E0188 |
Synthetic sheepskin pad |
172 |
158 |
$514.52 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
107 |
90 |
$165.22 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
13 |
12 |
$142.49 |
| E0218 |
Fluid circulating cold pad with pump, any type |
166 |
150 |
$80.00 |
| A6260 |
Wound cleansers, any type, any size |
66 |
61 |
$69.93 |
| A4927 |
Gloves, non-sterile, per 100 |
13 |
13 |
$62.69 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
69 |
66 |
$23.29 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
12 |
12 |
$0.00 |