| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
812 |
806 |
$71K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
811 |
805 |
$12K |
| A4617 |
Mouth piece |
961 |
940 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
955 |
939 |
$950.95 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
808 |
803 |
$707.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
27 |
$98.54 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
381 |
293 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
386 |
221 |
$0.00 |