| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
83 |
83 |
$545.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$25.70 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$17.48 |
| A4259 |
Lancets, per box of 100 |
14 |
14 |
$10.48 |
| 90688 |
|
27 |
27 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
92 |
92 |
$0.00 |
| 90694 |
|
18 |
18 |
$0.00 |