| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), 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, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
104 |
87 |
$21K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
1,441 |
1,367 |
$5K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
128 |
81 |
$4K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
32 |
25 |
$3K |
| E0570 |
Nebulizer, with compressor |
26 |
15 |
$1K |
| L2810 |
Addition to lower extremity orthosis, knee control, condylar pad |
60 |
54 |
$958.25 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
64 |
55 |
$770.59 |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
48 |
41 |
$752.36 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
31 |
14 |
$123.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
30 |
12 |
$10.05 |