| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Ther cgm supply allowance |
84,666 |
83,432 |
$15.99M |
| A4230 |
Infus insulin pump non needl |
106,106 |
104,221 |
$12.76M |
| E0784 |
Ext amb infusn pump insulin |
8,744 |
8,509 |
$12.66M |
| A4239 |
Non-adju cgm supply allow |
65,692 |
64,878 |
$12.63M |
| A9276 |
Disposable sensor, cgm sys |
29,750 |
28,432 |
$10.95M |
| A9274 |
Ext amb insulin delivery sys |
15,296 |
14,414 |
$6.51M |
| A4253 |
Blood glucose/reagent strips |
111,790 |
110,075 |
$5.57M |
| A4232 |
Syringe w/needle insulin 3cc |
106,772 |
104,990 |
$3.37M |
| A9277 |
External transmitter, cgm |
3,889 |
3,789 |
$1.42M |
| K0554 |
Ther cgm receiver/monitor |
4,008 |
3,993 |
$749K |
| A4259 |
Lancets per box |
92,128 |
91,005 |
$672K |
| E2103 |
Non-adju cgm receiver/mon |
2,597 |
2,577 |
$536K |
| A6257 |
Transparent film <= 16 sq in |
12,543 |
12,198 |
$296K |
| A4224 |
Supply insulin inf cath/wk |
4,165 |
4,055 |
$204K |
| A5120 |
Skin barrier, wipe or swab |
14,580 |
14,126 |
$109K |
| A4245 |
Alcohol wipes per box |
48,309 |
47,703 |
$108K |
| A4250 |
Urine reagent strips/tablets |
9,132 |
8,988 |
$98K |
| A4238 |
Adju cgm supply allowance |
969 |
949 |
$92K |
| A4225 |
Sup/ext insulin inf pump syr |
4,033 |
3,911 |
$71K |
| E0607 |
Blood glucose monitor home |
1,572 |
1,564 |
$67K |
| A4231 |
Infusion insulin pump needle |
759 |
749 |
$51K |
| A4670 |
Automatic bp monitor, dial |
989 |
984 |
$41K |
| A4456 |
Adhesive remover, wipes |
3,695 |
3,608 |
$27K |
| A9278 |
External receiver, cgm sys |
25 |
25 |
$12K |
| A6258 |
Transparent film >16<=48 in |
229 |
221 |
$9K |
| A4256 |
Calibrator solution/chips |
504 |
497 |
$3K |
| K0552 |
Sup/ext non-ins inf pump syr |
31 |
31 |
$609.68 |
| K0603 |
Repl batt alkaline 1.5 v |
497 |
479 |
$211.33 |
| A4258 |
Lancet device each |
63 |
63 |
$43.75 |