| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
4,222 |
2,775 |
$11K |
| A4259 |
Lancets, per box of 100 |
3,889 |
2,530 |
$1K |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
142 |
99 |
$439.27 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
166 |
124 |
$249.47 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,330 |
929 |
$196.30 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$3.48 |