| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment mi |
3,028 |
1,782 |
$3.50M |
| A6549 |
Grad com garm noc day use |
2,175 |
1,381 |
$1.83M |
| E0570 |
Nebulizer with compression |
2,904 |
2,842 |
$222K |
| A7005 |
Nondisposable nebulizer set |
2,963 |
2,900 |
$37K |
| A6593 |
Grad com accessory gmt_wrap |
755 |
228 |
$31K |
| A6610 |
G com stcking bk 18-30 custm |
110 |
58 |
$12K |
| A4627 |
Spacer bag/reservoir |
336 |
333 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
2,962 |
2,900 |
$3K |
| A7013 |
Disposable compressor filter |
2,962 |
2,900 |
$1K |
| A6578 |
Gradient comp sleeve |
12 |
12 |
$1K |
| S8101 |
Spacer with mask |
242 |
238 |
$994.20 |
| A7003 |
Nebulizer administration set |
280 |
276 |
$19.80 |