| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,643 |
1,343 |
$2K |
| 0003A |
|
41 |
41 |
$880.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
56 |
$64.10 |
| 90653 |
|
13 |
13 |
$54.67 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
28 |
26 |
$52.80 |
| 0002A |
|
16 |
16 |
$40.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
82 |
76 |
$26.48 |
| 0001A |
|
23 |
15 |
$16.94 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
19 |
14 |
$2.94 |
| 90686 |
|
41 |
32 |
$0.00 |