| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,027 |
1,616 |
$628K |
| E0784 |
External ambulatory infusion pump, insulin |
2,747 |
2,376 |
$412K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
3,251 |
3,181 |
$354K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,726 |
1,334 |
$253K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
1,621 |
928 |
$123K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,226 |
1,318 |
$48K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
288 |
222 |
$45K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,065 |
908 |
$40K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
1,425 |
1,209 |
$11K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
325 |
254 |
$9K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
29 |
29 |
$4K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
1,358 |
1,223 |
$3K |
| A4259 |
Lancets, per box of 100 |
41 |
38 |
$258.44 |