| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
8,092 |
7,989 |
$1.42M |
| A4284 |
Breast shield and splash protector for use with breast pump, replacement |
863 |
801 |
$35K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
432 |
425 |
$29K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
592 |
591 |
$23K |
| A4281 |
Tubing for breast pump, replacement |
838 |
793 |
$21K |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
826 |
781 |
$10K |
| A4286 |
Locking ring for breast pump, replacement |
837 |
792 |
$8K |