| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,561 |
1,464 |
$33K |
| 0001A |
|
279 |
279 |
$10K |
| 0002A |
|
252 |
252 |
$10K |
| A4215 |
Needle, sterile, any size, each |
510 |
490 |
$9K |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
25 |
25 |
$2K |
| A4259 |
Lancets, per box of 100 |
280 |
267 |
$582.36 |
| 90686 |
|
31 |
31 |
$504.75 |
| 0124A |
|
13 |
13 |
$480.00 |
| 0003A |
|
12 |
12 |
$480.00 |
| 90471 |
|
31 |
31 |
$157.79 |
| 91300 |
|
421 |
373 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |