| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
32 |
16 |
$283.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
16 |
$239.40 |
| E0570 |
Nebulizer, with compressor |
25 |
25 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
110 |
106 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
12 |
12 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
20 |
20 |
$0.00 |