| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
542 |
495 |
$62K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
608 |
580 |
$28K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
213 |
157 |
$20K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
160 |
156 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
240 |
198 |
$11K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
97 |
80 |
$4K |
| 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 |
16 |
13 |
$606.33 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
15 |
14 |
$450.18 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
12 |
$306.18 |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
217 |
205 |
$38.38 |