| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,796 |
1,719 |
$199K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
151 |
146 |
$26K |
| A6545 |
Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
228 |
182 |
$24K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
13 |
13 |
$1K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
15 |
15 |
$819.79 |
| 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 |
16 |
16 |
$601.54 |