| Code | Description | Claims | Beneficiaries | Total Paid |
| L2620 |
Addition to lower extremity, pelvic control, hip joint, heavy duty, each |
48 |
42 |
$113.32 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
31 |
25 |
$0.00 |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
36 |
30 |
$0.00 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
31 |
25 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
30 |
25 |
$0.00 |
| E0676 |
Intermittent limb compression device (includes all accessories), not otherwise specified |
32 |
26 |
$0.00 |
| 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 |
33 |
27 |
$0.00 |