| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
7,295 |
6,345 |
$1.09M |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
4,293 |
4,083 |
$140K |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
1,018 |
978 |
$121K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
884 |
847 |
$38K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
895 |
859 |
$24K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
232 |
197 |
$6K |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
80 |
30 |
$114.58 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
50 |
29 |
$90.40 |
| A4281 |
Tubing for breast pump, replacement |
78 |
29 |
$56.24 |
| A4282 |
Adapter for breast pump, replacement |
78 |
29 |
$21.50 |
| A4286 |
Locking ring for breast pump, replacement |
34 |
13 |
$0.00 |
| A4283 |
Cap for breast pump bottle, replacement |
34 |
13 |
$0.00 |