| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
127 |
127 |
$48K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
720 |
351 |
$37K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
224 |
117 |
$23K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
77 |
53 |
$22K |
| L2270 |
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad |
186 |
95 |
$4K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
12 |
12 |
$4K |
| A4590 |
Special casting material (e.g., fiberglass) |
168 |
162 |
$2K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
27 |
27 |
$1K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
52 |
52 |
$1K |
| L4002 |
Replacement strap, any orthosis, includes all components, any length, any type |
12 |
12 |
$834.00 |