| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12,225 |
11,048 |
$1.91M |
| E0570 |
Nebulizer, with compressor |
2,332 |
2,094 |
$166K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
3,951 |
3,681 |
$82K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
223 |
218 |
$53K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
2,281 |
2,206 |
$49K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,279 |
2,093 |
$41K |
| 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 |
300 |
294 |
$16K |
| A4670 |
Automatic blood pressure monitor |
75 |
69 |
$9K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
251 |
176 |
$9K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,640 |
1,517 |
$3K |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
71 |
56 |
$1K |
| A4281 |
Tubing for breast pump, replacement |
83 |
68 |
$929.60 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
60 |
56 |
$772.46 |
| A4283 |
Cap for breast pump bottle, replacement |
59 |
55 |
$389.36 |