| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
906 |
901 |
$95K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
799 |
796 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
53 |
53 |
$1K |
| K0001 |
Standard wheelchair |
26 |
25 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
13 |
13 |
$194.74 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
16 |
$23.16 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
29 |
$5.61 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
17 |
17 |
$0.00 |