| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,077 |
2,070 |
$364K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
187 |
185 |
$23K |
| A4670 |
Automatic blood pressure monitor |
307 |
307 |
$15K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
184 |
184 |
$15K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
112 |
112 |
$11K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
128 |
127 |
$11K |
| A4554 |
Disposable underpads, all sizes |
148 |
145 |
$9K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
150 |
150 |
$3K |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
94 |
94 |
$2K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
14 |
14 |
$1K |