| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
1,659 |
1,513 |
$153K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,002 |
918 |
$97K |
| L2580 |
Addition to lower extremity, pelvic control, pelvic sling |
210 |
201 |
$83K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
384 |
307 |
$55K |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
182 |
170 |
$40K |
| L2640 |
Addition to lower extremity, pelvic control, band and belt, bilateral |
92 |
89 |
$19K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
139 |
67 |
$15K |
| A6552 |
Gradient compression stocking, below knee, 30-40 mmhg, each |
75 |
62 |
$4K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
218 |
208 |
$4K |
| 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 |
31 |
28 |
$2K |
| A4281 |
Tubing for breast pump, replacement |
524 |
255 |
$1K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
24 |
23 |
$464.60 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
15 |
14 |
$127.60 |