| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
2,610 |
1,836 |
$728K |
| 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 |
1,491 |
1,444 |
$550K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
1,456 |
1,226 |
$510K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
1,938 |
1,756 |
$457K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
1,422 |
1,015 |
$387K |
| 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 |
571 |
446 |
$232K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,846 |
1,233 |
$222K |
| L0174 |
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
1,409 |
1,346 |
$182K |
| L0635 |
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, 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, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment |
317 |
311 |
$165K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
2,780 |
1,930 |
$145K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
1,764 |
931 |
$99K |
| L3031 |
Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each |
358 |
224 |
$70K |
| L1660 |
Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment |
328 |
265 |
$32K |
| L3710 |
Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf |
380 |
275 |
$26K |
| L3762 |
Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf |
401 |
271 |
$22K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
2,038 |
1,920 |
$18K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
1,806 |
1,630 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
27 |
25 |
$4K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
193 |
184 |
$3K |
| A4670 |
Automatic blood pressure monitor |
45 |
42 |
$1K |
| A4554 |
Disposable underpads, all sizes |
27 |
25 |
$793.80 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
53 |
28 |
$280.78 |