| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,906 |
2,892 |
$492K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 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 |
312 |
309 |
$115K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
807 |
551 |
$90K |
| 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 |
355 |
355 |
$42K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
829 |
575 |
$26K |
| E0190 |
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories |
685 |
682 |
$9K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
201 |
191 |
$8K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
105 |
105 |
$1K |