| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
Ext amb insulin delivery sys |
12,774 |
11,554 |
$22.26M |
| K0553 |
Ther cgm supply allowance |
19,463 |
18,619 |
$12.24M |
| A4239 |
Non-adju cgm supply allow |
64,480 |
22,472 |
$12.01M |
| A9276 |
Disposable sensor, cgm sys |
1,943 |
1,703 |
$1.95M |
| A4230 |
Infus insulin pump non needl |
2,524 |
2,354 |
$1.39M |
| E0784 |
Ext amb infusn pump insulin |
286 |
254 |
$1.03M |
| K0554 |
Ther cgm receiver/monitor |
3,748 |
3,471 |
$771K |
| A9277 |
External transmitter, cgm |
1,855 |
1,632 |
$453K |
| A4232 |
Syringe w/needle insulin 3cc |
2,519 |
2,352 |
$394K |
| E2103 |
Non-adju cgm receiver/mon |
1,723 |
1,328 |
$276K |
| A9278 |
External receiver, cgm sys |
299 |
285 |
$105K |
| A5120 |
Skin barrier, wipe or swab |
1,855 |
1,703 |
$20K |
| A4456 |
Adhesive remover, wipes |
1,835 |
1,684 |
$19K |
| A4245 |
Alcohol wipes per box |
1,809 |
1,659 |
$13K |
| A6258 |
Transparent film >16<=48 in |
72 |
66 |
$8K |
| A4253 |
Blood glucose/reagent strips |
89 |
78 |
$2K |