| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
123 |
115 |
$85K |
| J3490 |
Unclassified drugs |
38 |
24 |
$258.34 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
423 |
369 |
$144.72 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
64 |
64 |
$85.80 |
| A4259 |
Lancets, per box of 100 |
34 |
29 |
$2.85 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
24 |
$2.32 |
| E1399 |
Durable medical equipment, miscellaneous |
436 |
56 |
$0.00 |
| 90686 |
|
27 |
25 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| 99457 |
|
12 |
12 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 91320 |
|
35 |
35 |
$0.00 |