| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,598 |
1,682 |
$7K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
392 |
265 |
$1K |
| A4259 |
Lancets, per box of 100 |
2,025 |
1,350 |
$512.93 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
97 |
77 |
$289.60 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,596 |
1,153 |
$168.70 |