213 B
213 B
| 1 | patient_id | device_type | shipment_date | quantity | payer | component |
|---|---|---|---|---|---|---|
| 2 | PT-1161 | omnipod_5 | 2026-04-24 | 6 | Medicaid - GA | pod |
| 3 | PT-1162 | omnipod_5 | 2026-04-22 | 6 | Medicaid - GA | pod |
| 4 | PT-1163 | omnipod_5 | 2026-04-26 | 6 | Medicaid - GA | pod |