| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2640 |
Addition to lower extremity, pelvic control, band and belt, bilateral |
729 |
697 |
$550K |
| L2580 |
Addition to lower extremity, pelvic control, pelvic sling |
707 |
675 |
$504K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
989 |
953 |
$201K |
| L8310 |
Truss, double with standard pads |
544 |
442 |
$85K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
809 |
693 |
$8K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
16 |
16 |
$3K |
| A6245 |
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
16 |
16 |
$3K |