| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
24,175 |
16,936 |
$739K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
6,446 |
4,308 |
$558K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
3,933 |
3,290 |
$81K |
| 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 |
272 |
160 |
$43K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
2,854 |
2,851 |
$40K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
215 |
122 |
$36K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
269 |
245 |
$23K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,287 |
634 |
$17K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
181 |
167 |
$12K |
| 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 |
173 |
95 |
$11K |
| 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 |
43 |
25 |
$7K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
126 |
122 |
$6K |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
1,159 |
977 |
$5K |
| 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 |
99 |
93 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
195 |
186 |
$5K |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
1,164 |
981 |
$4K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
48 |
47 |
$2K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
25 |
25 |
$903.62 |
| E0570 |
Nebulizer, with compressor |
130 |
45 |
$769.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
129 |
44 |
$19.00 |