| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
1,812 |
1,581 |
$1.59M |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
12,330 |
12,042 |
$579K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
12,131 |
11,863 |
$435K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
1,058 |
1,022 |
$239K |
| S9999 |
Sales tax |
12,393 |
12,064 |
$134K |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
12,236 |
11,968 |
$73K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
427 |
335 |
$39K |
| E0849 |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
556 |
461 |
$7K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
48 |
48 |
$882.12 |