| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
12,225 |
11,048 |
$1.91M |
| E0570 |
Nebulizer with compression |
2,332 |
2,094 |
$166K |
| K1005 |
Disp col sto bag breast milk |
3,951 |
3,681 |
$82K |
| A6530 |
Compression stocking bk18-30 |
223 |
218 |
$53K |
| A4287 |
Disp col sto bag breast milk |
2,281 |
2,206 |
$49K |
| A7005 |
Nondisposable nebulizer set |
2,279 |
2,093 |
$41K |
| L0621 |
Sio flex pelvic/sacr pre ots |
300 |
294 |
$16K |
| A4670 |
Automatic bp monitor, dial |
75 |
69 |
$9K |
| E0604 |
Hosp grade elec breast pump |
251 |
176 |
$9K |
| A7015 |
Aerosol mask used w nebulize |
1,640 |
1,517 |
$3K |
| A4284 |
Replcmnt breast pump shield |
71 |
56 |
$1K |
| A4281 |
Replacement breastpump tube |
83 |
68 |
$929.60 |
| A4285 |
Replcmnt breast pump bottle |
60 |
56 |
$772.46 |
| A4283 |
Replacement breastpump cap |
59 |
55 |
$389.36 |