| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
319 |
317 |
$1K |
| 91320 |
|
65 |
65 |
$524.40 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,443 |
1,252 |
$506.49 |
| 90694 |
|
60 |
60 |
$320.70 |
| 90480 |
|
65 |
65 |
$173.69 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,219 |
1,128 |
$117.34 |
| 90686 |
|
240 |
240 |
$89.33 |
| G0008 |
Administration of influenza virus vaccine |
690 |
688 |
$61.67 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
208 |
177 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
439 |
395 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
63 |
52 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |