| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
38,016 |
32,121 |
$1.71M |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
18,468 |
15,657 |
$150K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
5,504 |
4,816 |
$144K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
2,386 |
617 |
$85K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
359 |
329 |
$61K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
452 |
410 |
$19K |
| A7015 |
Aerosol mask, used with dme nebulizer |
19,296 |
16,387 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
68 |
60 |
$705.99 |
| 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 |
12 |
12 |
$593.72 |