| Code | Description | Claims | Beneficiaries | Total Paid |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
34 |
13 |
$7K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
31 |
25 |
$253.68 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
14 |
14 |
$0.00 |