| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
12,774 |
11,554 |
$22.26M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
19,463 |
18,619 |
$12.24M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
64,480 |
22,472 |
$12.01M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
1,943 |
1,703 |
$1.95M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
2,524 |
2,354 |
$1.39M |
| E0784 |
External ambulatory infusion pump, insulin |
286 |
254 |
$1.03M |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
3,748 |
3,471 |
$771K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
1,855 |
1,632 |
$453K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,519 |
2,352 |
$394K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
1,723 |
1,328 |
$276K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
299 |
285 |
$105K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,855 |
1,703 |
$20K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,835 |
1,684 |
$19K |
| A4245 |
Alcohol wipes, per box |
1,809 |
1,659 |
$13K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
72 |
66 |
$8K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
89 |
78 |
$2K |