| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
66,844 |
53,389 |
$2.20M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
40,459 |
34,785 |
$1.44M |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
7,252 |
5,430 |
$185K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
269 |
212 |
$108K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
1,712 |
1,375 |
$46K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
322 |
240 |
$18K |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
121 |
72 |
$12K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
103 |
63 |
$8K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
21 |
12 |
$5K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
105 |
61 |
$3K |
| E0691 |
Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less |
36 |
31 |
$3K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
21 |
17 |
$640.80 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
72 |
29 |
$564.61 |
| K1005 |
Disposable collection and storage bag for breast milk, any size, any type, each |
46 |
22 |
$145.40 |