| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
768 |
740 |
$26K |
| S9999 |
Sales tax |
1,176 |
1,052 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
143 |
134 |
$4K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
345 |
302 |
$2K |
| 90662 |
|
24 |
24 |
$32.02 |
| 0011A |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
128 |
128 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
108 |
108 |
$0.00 |
| 0012A |
|
19 |
19 |
$0.00 |
| 0031A |
|
244 |
244 |
$0.00 |
| 0064A |
|
76 |
76 |
$0.00 |
| 90480 |
|
31 |
31 |
$0.00 |
| 90674 |
|
18 |
18 |
$0.00 |
| 0013A |
|
33 |
33 |
$0.00 |
| 0034A |
|
31 |
31 |
$0.00 |
| 91322 |
|
31 |
31 |
$0.00 |
| 0003A |
|
33 |
33 |
$0.00 |
| 0004A |
|
57 |
57 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 90653 |
|
14 |
14 |
$0.00 |