| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
671 |
640 |
$29K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
993 |
964 |
$28K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
614 |
611 |
$8K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
64 |
57 |
$4K |
| 99606 |
|
1,600 |
1,589 |
$3K |
| A4259 |
Lancets, per box of 100 |
557 |
554 |
$596.03 |
| A4245 |
Alcohol wipes, per box |
565 |
562 |
$489.66 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$385.98 |
| 90674 |
|
14 |
14 |
$385.98 |
| A4256 |
Normal, low and high calibrator solution / chips |
17 |
17 |
$14.04 |
| 0003A |
|
12 |
12 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
737 |
737 |
$0.00 |