| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
1,237 |
1,151 |
$117K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,033 |
980 |
$74K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
492 |
453 |
$48K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
1,256 |
652 |
$42K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, 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 padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
81 |
76 |
$5K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
27 |
26 |
$3K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
43 |
42 |
$2K |
| A4670 |
Automatic blood pressure monitor |
31 |
31 |
$834.74 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
24 |
12 |
$133.29 |