| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0745 |
Neuromuscular stimulator, electronic shock unit |
607 |
583 |
$146K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
582 |
564 |
$89K |
| 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 |
278 |
204 |
$66K |
| 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 |
213 |
204 |
$62K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,791 |
1,583 |
$60K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,104 |
1,655 |
$55K |
| 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 |
146 |
140 |
$50K |
| 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 |
385 |
269 |
$41K |
| 97014 |
|
1,108 |
246 |
$38K |
| L0651 |
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf |
55 |
55 |
$20K |
| L5968 |
Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature |
17 |
15 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,031 |
489 |
$19K |
| L0635 |
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, 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, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment |
45 |
45 |
$18K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
625 |
600 |
$14K |
| L5673 |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism |
42 |
34 |
$14K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
462 |
113 |
$12K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
663 |
626 |
$12K |
| L0464 |
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
35 |
32 |
$11K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
49 |
31 |
$10K |
| 97161 |
|
333 |
330 |
$9K |
| L5645 |
Addition to lower extremity, below knee, flexible inner socket, external frame |
39 |
30 |
$9K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
131 |
60 |
$8K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
194 |
156 |
$8K |
| L5910 |
Addition, endoskeletal system, below knee, alignable system |
37 |
29 |
$6K |
| L5671 |
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert |
40 |
33 |
$6K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
14 |
14 |
$5K |
| L5629 |
Addition to lower extremity, below knee, acrylic socket |
38 |
30 |
$5K |
| L5637 |
Addition to lower extremity, below knee, total contact |
39 |
30 |
$4K |
| L5620 |
Addition to lower extremity, test socket, below knee |
39 |
30 |
$4K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
68 |
56 |
$4K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
89 |
72 |
$3K |
| L3760 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
13 |
$3K |
| L5704 |
Custom shaped protective cover, below knee |
15 |
12 |
$3K |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
556 |
534 |
$3K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
64 |
26 |
$3K |
| L5940 |
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
15 |
12 |
$2K |
| L5972 |
All lower extremity prostheses, foot, flexible keel |
15 |
13 |
$2K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
39 |
30 |
$2K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
18 |
17 |
$2K |
| 97164 |
|
87 |
81 |
$1K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
23 |
12 |
$927.66 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
31 |
12 |
$673.22 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
29 |
12 |
$667.54 |
| L8470 |
Prosthetic sock, single ply, fitting, below knee, each |
39 |
30 |
$415.86 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
36 |
28 |
$145.48 |