| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
305 |
302 |
$33K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
167 |
162 |
$1K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
15 |
13 |
$788.14 |
| E0215 |
Electric heat pad, moist |
18 |
17 |
$767.51 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
225 |
217 |
$762.94 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
16 |
14 |
$627.51 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
17 |
12 |
$618.35 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
83 |
79 |
$321.40 |
| 90686 |
|
29 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
38 |
$0.00 |
| 0031A |
|
25 |
25 |
$0.00 |