| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0745 |
Neuromuscular stimulator, electronic shock unit |
329 |
329 |
$77K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
355 |
344 |
$62K |
| 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 |
203 |
203 |
$60K |
| 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 |
91 |
78 |
$28K |
| K0001 |
Standard wheelchair |
730 |
685 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
662 |
590 |
$8K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
61 |
60 |
$7K |
| L3915 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
20 |
13 |
$6K |
| 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 |
36 |
24 |
$5K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
105 |
87 |
$5K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
98 |
82 |
$5K |
| A4670 |
Automatic blood pressure monitor |
174 |
173 |
$4K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
12 |
12 |
$3K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
46 |
45 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
121 |
118 |
$2K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
196 |
182 |
$2K |
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
17 |
$1K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
22 |
12 |
$1K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
146 |
146 |
$939.10 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
267 |
252 |
$852.22 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
123 |
123 |
$850.83 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
129 |
127 |
$380.84 |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
45 |
45 |
$141.75 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$107.51 |