| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
16,603 |
16,564 |
$3.15M |
| A6540 |
Gradient compression stocking, waist length, 30-40 mmhg, each |
2,623 |
2,611 |
$816K |
| A4510 |
Surgical stockings full length, each |
3,901 |
2,266 |
$507K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
8,800 |
4,727 |
$472K |
| 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 |
1,344 |
1,340 |
$86K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,385 |
699 |
$68K |
| L8310 |
Truss, double with standard pads |
685 |
684 |
$56K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
119 |
119 |
$20K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
36 |
28 |
$3K |