| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
4,433 |
4,309 |
$927K |
| E0570 |
Nebulizer, with compressor |
11,818 |
11,432 |
$238K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
3,336 |
3,095 |
$176K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
3,355 |
3,280 |
$164K |
| 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 |
1,021 |
977 |
$126K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,587 |
1,544 |
$97K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
2,714 |
2,665 |
$84K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,140 |
1,096 |
$70K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,296 |
2,228 |
$48K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
1,667 |
1,585 |
$45K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
481 |
455 |
$44K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
505 |
492 |
$38K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
74 |
73 |
$30K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
441 |
433 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
552 |
520 |
$27K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
473 |
456 |
$26K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
146 |
146 |
$26K |
| A4565 |
Slings |
2,772 |
2,640 |
$22K |
| L3260 |
Surgical boot/shoe, each |
1,852 |
1,782 |
$18K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
186 |
183 |
$14K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
73 |
69 |
$4K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
160 |
157 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
766 |
754 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
541 |
469 |
$52.27 |