| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
256 |
204 |
$16.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
30 |
$4.89 |
| G0008 |
Administration of influenza virus vaccine |
280 |
241 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
145 |
140 |
$0.00 |
| 90674 |
|
258 |
220 |
$0.00 |
| 90662 |
|
18 |
17 |
$0.00 |