| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
218 |
187 |
$24K |
| G0008 |
Administration of influenza virus vaccine |
99 |
80 |
$741.63 |
| 90653 |
|
30 |
26 |
$393.41 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
14 |
13 |
$98.22 |
| 0011A |
|
75 |
64 |
$0.00 |
| 90480 |
|
28 |
25 |
$0.00 |
| 0012A |
|
49 |
39 |
$0.00 |
| 0134A |
|
15 |
15 |
$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 |
17 |
17 |
$0.00 |
| 90694 |
|
15 |
15 |
$0.00 |
| 0003A |
|
33 |
33 |
$0.00 |
| 0013A |
|
18 |
18 |
$0.00 |
| 91322 |
|
28 |
25 |
$0.00 |