| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
507 |
482 |
$21K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
84 |
82 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
331 |
329 |
$2K |
| A4554 |
Disposable underpads, all sizes |
12 |
12 |
$541.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
127 |
124 |
$319.15 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
28 |
24 |
$82.04 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
29 |
24 |
$0.00 |