| 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 |
27 |
26 |
$5K |
| 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 |
12 |
12 |
$3K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
43 |
43 |
$846.24 |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
124 |
119 |
$607.21 |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
13 |
13 |
$594.66 |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
49 |
45 |
$271.80 |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
43 |
43 |
$100.00 |