| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2640 |
Addition to lower extremity, pelvic control, band and belt, bilateral |
435 |
386 |
$100K |
| L2580 |
Addition to lower extremity, pelvic control, pelvic sling |
260 |
235 |
$71K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
482 |
241 |
$44K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
538 |
468 |
$43K |
| A6552 |
Gradient compression stocking, below knee, 30-40 mmhg, each |
56 |
31 |
$4K |
| 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 |
82 |
59 |
$3K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
28 |
26 |
$937.20 |