| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6549 |
Grad com garm noc day use |
7,651 |
3,615 |
$2.95M |
| E2402 |
Neg press wound therapy pump |
9,784 |
7,244 |
$877K |
| A6550 |
Neg pres wound ther drsg set |
8,533 |
5,581 |
$266K |
| E0603 |
Electric breast pump |
2,009 |
1,885 |
$229K |
| E0466 |
Home vent non-invasive inter |
2,591 |
1,324 |
$214K |
| L8681 |
Pt prgrm for implt neurostim |
592 |
452 |
$132K |
| A7000 |
Disposable canister for pump |
8,003 |
5,522 |
$68K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
147 |
94 |
$60K |
| L8621 |
Repl zinc air battery |
1,506 |
1,033 |
$36K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
98 |
86 |
$22K |
| L1833 |
Ko adj jnt pos r sup pre ots |
89 |
53 |
$20K |
| L8689 |
External recharg sys intern |
66 |
50 |
$18K |
| K0553 |
Ther cgm supply allowance |
479 |
252 |
$14K |
| A6452 |
High compres band w>=3"<5"yd |
148 |
44 |
$12K |
| A6583 |
Grad com wrap w straps bk |
307 |
140 |
$11K |
| A4465 |
Non-elastic extremity binder |
28 |
12 |
$5K |
| A6593 |
Grad com accessory gmt_wrap |
387 |
145 |
$3K |
| A6530 |
Compression stocking bk18-30 |
60 |
36 |
$3K |
| S8424 |
Ready gradient sleeve |
16 |
13 |
$2K |
| A6587 |
Grad com wrap w straps foot |
137 |
60 |
$2K |
| L2397 |
Suspension sleeve lower ext |
22 |
14 |
$654.22 |
| A6578 |
Gradient comp sleeve |
21 |
15 |
$404.72 |
| A6594 |
G comp bandge liner lwr extr |
44 |
12 |
$214.27 |