| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
383 |
313 |
$22K |
| E0570 |
Nebulizer, with compressor |
207 |
181 |
$9K |
| 0001A |
|
222 |
221 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
414 |
333 |
$7K |
| 0002A |
|
170 |
170 |
$6K |
| 0011A |
|
119 |
117 |
$3K |
| 0012A |
|
95 |
94 |
$3K |
| 90688 |
|
44 |
43 |
$1K |
| 0013A |
|
34 |
33 |
$920.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$395.31 |
| 90686 |
|
13 |
13 |
$302.85 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
77 |
63 |
$174.70 |
| A4259 |
Lancets, per box of 100 |
16 |
12 |
$44.52 |
| 91307 |
|
16 |
15 |
$10.00 |
| 91301 |
|
271 |
266 |
$0.00 |
| 91300 |
|
448 |
395 |
$0.00 |