| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
115 |
68 |
$30K |
| 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 |
50 |
50 |
$24K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
336 |
336 |
$24K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on 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 |
69 |
59 |
$18K |
| A4554 |
Disposable underpads, all sizes |
476 |
475 |
$11K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
146 |
84 |
$8K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
68 |
68 |
$8K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
114 |
68 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
453 |
451 |
$4K |
| L0180 |
Cervical, multiple post collar, occipital/mandibular supports, adjustable |
12 |
12 |
$3K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
31 |
17 |
$2K |