| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
763 |
754 |
$50K |
| A4206 |
1 cc sterile syringe&needle |
524 |
511 |
$9K |
| A4253 |
Blood glucose/reagent strips |
38 |
37 |
$2K |
| A7010 |
Disposable corrugated tubing |
139 |
137 |
$2K |
| A7003 |
Nebulizer administration set |
459 |
452 |
$852.03 |
| A7016 |
Nebulizer dome & mouthpiece |
141 |
139 |
$520.73 |
| A7015 |
Aerosol mask used w nebulize |
674 |
665 |
$453.67 |
| A4259 |
Lancets per box |
36 |
36 |
$329.80 |
| A7013 |
Disposable compressor filter |
136 |
135 |
$311.01 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$83.94 |