| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,150 |
2,746 |
$470K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
253 |
201 |
$27K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
461 |
435 |
$10K |
| 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 |
18 |
15 |
$1K |