| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,592 |
2,392 |
$43K |
| A4215 |
Needle, sterile, any size, each |
771 |
525 |
$12K |
| 90678 |
|
50 |
44 |
$6K |
| A4259 |
Lancets, per box of 100 |
1,291 |
1,249 |
$5K |
| 90686 |
|
140 |
140 |
$3K |
| 0003A |
|
54 |
54 |
$2K |
| 0064A |
|
50 |
50 |
$2K |
| 0004A |
|
33 |
33 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 0011A |
|
25 |
25 |
$1K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
80 |
77 |
$816.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
211 |
$515.73 |
| 90480 |
|
12 |
12 |
$424.00 |
| 0124A |
|
14 |
14 |
$360.00 |
| 91301 |
|
98 |
98 |
$0.00 |
| 91300 |
|
166 |
166 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |