| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
135 |
119 |
$13K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
132 |
121 |
$3K |
| 90688 |
|
59 |
48 |
$675.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
48 |
$545.30 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
310 |
299 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 91301 |
|
44 |
44 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
27 |
27 |
$0.00 |