| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
34,809 |
34,389 |
$4.69M |
| A4284 |
Replcmnt breast pump shield |
34,433 |
26,435 |
$420K |
| A4281 |
Replacement breastpump tube |
34,436 |
26,438 |
$217K |
| A4467 |
Belt strap sleev grmnt cover |
3,065 |
3,025 |
$137K |
| A4285 |
Replcmnt breast pump bottle |
34,433 |
26,435 |
$133K |
| A6530 |
Compression stocking bk18-30 |
3,050 |
3,010 |
$104K |
| A4283 |
Replacement breastpump cap |
34,435 |
26,437 |
$32K |
| A4282 |
Replacement breastpump adpt |
34,434 |
26,437 |
$29K |
| A4286 |
Replcmnt breastpump lok ring |
34,434 |
26,437 |
$26K |