| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic blood pressure monitor |
1,734 |
1,734 |
$247K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
5,396 |
5,391 |
$209K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
171 |
171 |
$107K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
125 |
125 |
$64K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
190 |
187 |
$55K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
98 |
95 |
$52K |
| 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 |
29 |
29 |
$11K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
17 |
15 |
$10K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
45 |
45 |
$6K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
306 |
305 |
$5K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
62 |
55 |
$5K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
13 |
13 |
$2K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
15 |
14 |
$2K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
15 |
14 |
$1K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
15 |
14 |
$1K |
| E0156 |
Seat attachment, walker |
38 |
38 |
$653.60 |