| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
524 |
431 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
763 |
542 |
$454.40 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
66 |
37 |
$105.05 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
86 |
51 |
$97.98 |
| 0011A |
|
185 |
185 |
$50.96 |
| 0012A |
|
130 |
130 |
$31.92 |
| A4259 |
Lancets, per box of 100 |
122 |
88 |
$24.60 |
| G0008 |
Administration of influenza virus vaccine |
153 |
153 |
$15.80 |
| 0013A |
|
56 |
56 |
$0.42 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 90688 |
|
53 |
53 |
$0.00 |
| 90686 |
|
67 |
67 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |