| Code | Description | Claims | Beneficiaries | Total Paid |
| E1399 |
Durable medical equipment, miscellaneous |
3,028 |
1,782 |
$3.50M |
| A6549 |
Gradient compression garment, not otherwise specified, for daytime use, each |
2,175 |
1,381 |
$1.83M |
| E0570 |
Nebulizer, with compressor |
2,904 |
2,842 |
$222K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,963 |
2,900 |
$37K |
| A6593 |
Accessory for gradient compression garment or wrap with adjustable straps, not-otherwise specified |
755 |
228 |
$31K |
| A6610 |
Gradient compression stocking, below knee, 18-30 mmhg, custom, each |
110 |
58 |
$12K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
336 |
333 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,962 |
2,900 |
$3K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,962 |
2,900 |
$1K |
| A6578 |
Gradient compression arm sleeve, each |
12 |
12 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
242 |
238 |
$994.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
280 |
276 |
$19.80 |