| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7639 |
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
1,303 |
1,168 |
$541K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,457 |
1,322 |
$86K |
| J7682 |
Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams |
217 |
191 |
$71K |
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
15 |
12 |
$25K |
| L8689 |
External recharging system for battery (internal) for use with implantable neurostimulator, replacement only |
60 |
54 |
$16K |
| L8681 |
Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only |
96 |
90 |
$13K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
31 |
30 |
$2K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
67 |
54 |
$443.64 |
| A4259 |
Lancets, per box of 100 |
31 |
30 |
$311.58 |