| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
897 |
894 |
$189K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
230 |
228 |
$35K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
209 |
208 |
$34K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
299 |
299 |
$17K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
819 |
813 |
$16K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
581 |
570 |
$11K |
| T4541 |
Incontinence product, disposable underpad, large, each |
90 |
90 |
$3K |