| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
1,566 |
1,489 |
$523K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
1,556 |
1,479 |
$161K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
106 |
106 |
$153K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,369 |
1,334 |
$101K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
2,874 |
675 |
$94K |
| E0784 |
External ambulatory infusion pump, insulin |
35 |
28 |
$91K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
689 |
647 |
$25K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
301 |
297 |
$13K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
97 |
97 |
$290.33 |
| 91301 |
|
15 |
13 |
$0.00 |