| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
771 |
751 |
$320K |
| E0570 |
Nebulizer, with compressor |
2,103 |
2,068 |
$164K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
588 |
448 |
$154K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
718 |
704 |
$69K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
34 |
34 |
$12K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 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 |
97 |
81 |
$9K |
| E0619 |
Apnea monitor, with recording feature |
47 |
47 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,057 |
1,053 |
$9K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
347 |
328 |
$7K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
141 |
133 |
$6K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
38 |
28 |
$5K |
| A4618 |
Breathing circuits |
1,060 |
1,058 |
$5K |
| 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 |
16 |
16 |
$5K |
| 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 |
17 |
16 |
$5K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,012 |
1,008 |
$997.04 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
79 |
77 |
$493.92 |
| A4282 |
Adapter for breast pump, replacement |
56 |
56 |
$180.00 |
| A4281 |
Tubing for breast pump, replacement |
56 |
56 |
$120.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
15 |
15 |
$118.53 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
13 |
13 |
$87.73 |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
56 |
56 |
$81.60 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
57 |
57 |
$60.25 |
| A4283 |
Cap for breast pump bottle, replacement |
56 |
56 |
$60.00 |
| A4286 |
Locking ring for breast pump, replacement |
56 |
56 |
$24.00 |