| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
3,633 |
2,253 |
$149K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
1,809 |
932 |
$34K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
527 |
271 |
$18K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
138 |
133 |
$15K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
138 |
96 |
$7K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
310 |
151 |
$6K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
30 |
28 |
$5K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
267 |
130 |
$3K |