| Code | Description | Claims | Beneficiaries | Total Paid |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,460 |
3,459 |
$549K |
| S9430 |
Pharmacy compounding and dispensing services |
3,206 |
3,195 |
$227K |
| A4670 |
Automatic blood pressure monitor |
4,130 |
4,115 |
$227K |
| E0570 |
Nebulizer, with compressor |
1,372 |
1,360 |
$116K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
756 |
751 |
$11K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,238 |
1,227 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
425 |
422 |
$500.54 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
14 |
14 |
$7.18 |