| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
19,120 |
17,126 |
$2.45M |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
10,638 |
9,680 |
$1.40M |
| A6540 |
Gradient compression stocking, waist length, 30-40 mmhg, each |
7,748 |
7,183 |
$1.19M |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
12,714 |
5,939 |
$374K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
2,878 |
1,439 |
$223K |
| 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 |
2,898 |
2,836 |
$143K |
| A4510 |
Surgical stockings full length, each |
3,157 |
1,437 |
$133K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
3,205 |
3,188 |
$126K |
| L8310 |
Truss, double with standard pads |
1,652 |
1,607 |
$114K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
2,053 |
967 |
$77K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
437 |
432 |
$56K |
| E0602 |
Breast pump, manual, any type |
1,836 |
1,814 |
$56K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
894 |
883 |
$35K |
| A6536 |
Gradient compression stocking, full length/chap style, 18-30 mmhg, each |
744 |
359 |
$34K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
995 |
984 |
$29K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
1,109 |
530 |
$28K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
150 |
75 |
$28K |
| L1620 |
Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
479 |
473 |
$27K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
385 |
192 |
$13K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
374 |
287 |
$13K |
| A6534 |
Gradient compression stocking, thigh length, 30-40 mmhg, each |
266 |
126 |
$11K |
| S8270 |
Enuresis alarm, using auditory buzzer and/or vibration device |
26 |
26 |
$5K |
| A6552 |
Gradient compression stocking, below knee, 30-40 mmhg, each |
137 |
68 |
$4K |
| E0570 |
Nebulizer, with compressor |
20 |
20 |
$1K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
36 |
18 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
12 |
12 |
$492.50 |
| L3260 |
Surgical boot/shoe, each |
13 |
13 |
$228.06 |