| Code | Description | Claims | Beneficiaries | Total Paid |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,390 |
1,363 |
$236K |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
385 |
378 |
$67K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
933 |
924 |
$38K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
75 |
75 |
$16K |
| A4670 |
Automatic blood pressure monitor |
166 |
157 |
$8K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
178 |
173 |
$7K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
36 |
28 |
$1K |