| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
240 |
218 |
$15K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
508 |
429 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
237 |
174 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
27 |
$35.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
28 |
28 |
$31.85 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |