| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
5,407 |
4,985 |
$970K |
| L0642 |
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, off-the-shelf |
383 |
364 |
$108K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
575 |
569 |
$36K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
190 |
182 |
$19K |
| 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 |
148 |
133 |
$8K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
96 |
87 |
$4K |
| A4670 |
Automatic blood pressure monitor |
89 |
88 |
$4K |