| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
32,776 |
1,743 |
$945K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
744 |
381 |
$22K |
| A4215 |
Needle, sterile, any size, each |
372 |
189 |
$12K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
447 |
185 |
$8K |
| A4259 |
Lancets, per box of 100 |
683 |
351 |
$6K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
567 |
281 |
$2K |
| A4256 |
Normal, low and high calibrator solution / chips |
124 |
28 |
$185.08 |