| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4259 |
Lancets, per box of 100 |
1,252 |
1,201 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,263 |
1,215 |
$6K |
| E0570 |
Nebulizer, with compressor |
188 |
179 |
$5K |
| E0607 |
Home blood glucose monitor |
69 |
69 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$12.75 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$10.60 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
14 |
14 |
$4.72 |
| A4258 |
Spring-powered device for lancet, each |
30 |
30 |
$3.27 |