| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
64 |
59 |
$756.62 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
47 |
43 |
$176.29 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
127 |
115 |
$168.80 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
194 |
186 |
$12.26 |
| A4259 |
Lancets, per box of 100 |
104 |
97 |
$0.00 |
| J3490 |
Unclassified drugs |
116 |
80 |
$0.00 |
| E1399 |
Durable medical equipment, miscellaneous |
240 |
24 |
$0.00 |