| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
237 |
189 |
$18K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
59 |
50 |
$12K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
120 |
110 |
$8K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
17 |
13 |
$951.76 |