| Code | Description | Claims | Beneficiaries | Total Paid |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
1,756 |
1,282 |
$556K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
3,346 |
1,528 |
$446K |
| E0652 |
Pneumatic compressor, segmental home model with calibrated gradient pressure |
227 |
184 |
$327K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
1,956 |
1,097 |
$132K |
| S8424 |
Gradient pressure aid (sleeve), ready made |
473 |
365 |
$23K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
101 |
64 |
$3K |