| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,367 |
1,155 |
$26K |
| A4215 |
Needle, sterile, any size, each |
305 |
254 |
$4K |
| 0012A |
|
81 |
78 |
$3K |
| 0011A |
|
87 |
82 |
$2K |
| 0013A |
|
46 |
44 |
$2K |
| 0134A |
|
13 |
13 |
$520.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
42 |
22 |
$519.36 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$313.65 |
| 90686 |
|
28 |
28 |
$312.90 |
| A4259 |
Lancets, per box of 100 |
31 |
29 |
$166.00 |
| E0607 |
Home blood glucose monitor |
12 |
12 |
$162.18 |