| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
680 |
670 |
$38K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
414 |
409 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
141 |
106 |
$5K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
12 |
$584.26 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
130 |
128 |
$173.76 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
17 |
$21.94 |