| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
33 |
25 |
$5.12 |
| 90694 |
|
59 |
59 |
$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 |
104 |
99 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
90 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
64 |
64 |
$0.00 |
| 90480 |
|
54 |
54 |
$0.00 |
| 90653 |
|
22 |
22 |
$0.00 |
| 91320 |
|
54 |
54 |
$0.00 |
| 0003A |
|
85 |
85 |
$0.00 |
| 90670 |
|
18 |
18 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 0004A |
|
24 |
24 |
$0.00 |