| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
319 |
316 |
$17K |
| A4259 |
Lancets, per box of 100 |
277 |
275 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
42 |
42 |
$672.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
579 |
475 |
$442.00 |
| A4258 |
Spring-powered device for lancet, each |
17 |
17 |
$245.48 |
| A4245 |
Alcohol wipes, per box |
107 |
107 |
$207.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
187 |
144 |
$131.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
300 |
213 |
$125.85 |
| A7015 |
Aerosol mask, used with dme nebulizer |
188 |
145 |
$37.37 |
| A4256 |
Normal, low and high calibrator solution / chips |
17 |
17 |
$8.06 |