| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
465 |
450 |
$108K |
| E0676 |
Intermittent limb compression device (includes all accessories), not otherwise specified |
55 |
54 |
$14K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
65 |
64 |
$12K |
| 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 |
13 |
12 |
$8K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
172 |
162 |
$6K |
| E0673 |
Segmental gradient pressure pneumatic appliance, half leg |
131 |
64 |
$5K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
66 |
55 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
76 |
76 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$560.86 |
| 98960 |
|
80 |
77 |
$135.00 |
| E0675 |
Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) |
75 |
68 |
$86.59 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
84 |
81 |
$29.50 |