| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
4,304 |
3,804 |
$199K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,076 |
1,860 |
$31K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
173 |
146 |
$7K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
248 |
170 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,347 |
1,275 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,459 |
1,375 |
$2K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
314 |
169 |
$1K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
186 |
159 |
$913.12 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,770 |
1,525 |
$691.89 |
| 90694 |
|
97 |
97 |
$0.00 |
| 90480 |
|
91 |
89 |
$0.00 |
| 0011A |
|
168 |
168 |
$0.00 |
| 0012A |
|
165 |
165 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
266 |
263 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
24 |
24 |
$0.00 |
| 0064A |
|
190 |
190 |
$0.00 |
| 90677 |
|
21 |
21 |
$0.00 |
| 0134A |
|
20 |
20 |
$0.00 |
| 90653 |
|
88 |
85 |
$0.00 |
| 91322 |
|
91 |
89 |
$0.00 |