| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
134,251 |
124,288 |
$6.85M |
| A4215 |
Sterile needle |
35,439 |
30,447 |
$1.64M |
| A4259 |
Lancets per box |
130,302 |
120,841 |
$1.46M |
| A5500 |
Diab shoe for density insert |
22,651 |
15,186 |
$1.33M |
| A4239 |
Non-adju cgm supply allow |
4,892 |
4,259 |
$594K |
| E0607 |
Blood glucose monitor home |
9,933 |
9,002 |
$567K |
| A5514 |
Mult den insert dir carv/cam |
13,031 |
7,247 |
$518K |
| A4256 |
Calibrator solution/chips |
75,910 |
68,462 |
$444K |
| S8490 |
100 insulin syringes |
15,536 |
13,274 |
$288K |
| A4206 |
1 cc sterile syringe&needle |
13,344 |
12,869 |
$284K |
| A5513 |
Multi den insert custom mold |
7,992 |
6,476 |
$278K |
| A4245 |
Alcohol wipes per box |
55,775 |
48,276 |
$128K |
| E2103 |
Non-adju cgm receiver/mon |
548 |
486 |
$69K |
| A4258 |
Lancet device each |
6,780 |
6,045 |
$40K |
| A4250 |
Urine reagent strips/tablets |
1,341 |
1,203 |
$18K |
| K0553 |
Ther cgm supply allowance |
63 |
53 |
$6K |
| K0903 |
Mult den insert dir carv/cam |
1,068 |
1,056 |
$0.00 |