| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
125 |
51 |
$1.09M |
| J7639 |
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
1,777 |
986 |
$218K |
| J7682 |
Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams |
71 |
38 |
$6K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,703 |
1,073 |
$2K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
499 |
279 |
$735.18 |