| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
424 |
386 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
106 |
101 |
$535.13 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$10.96 |
| A4259 |
Lancets, per box of 100 |
28 |
27 |
$6.44 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
109 |
103 |
$0.00 |