| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,793 |
1,723 |
$45K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
278 |
251 |
$34K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
264 |
254 |
$30K |
| 0002A |
|
337 |
335 |
$13K |
| A4215 |
Needle, sterile, any size, each |
673 |
662 |
$11K |
| 0001A |
|
329 |
329 |
$11K |
| 0004A |
|
179 |
177 |
$7K |
| 91320 |
|
34 |
34 |
$4K |
| 0124A |
|
95 |
95 |
$3K |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
24 |
24 |
$2K |
| A4259 |
Lancets, per box of 100 |
458 |
456 |
$1K |
| 90480 |
|
37 |
37 |
$1K |
| 0064A |
|
32 |
31 |
$1K |
| 0072A |
|
20 |
20 |
$800.00 |
| 90686 |
|
66 |
66 |
$681.15 |
| 0071A |
|
17 |
17 |
$680.00 |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
14 |
12 |
$282.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$269.77 |
| 91307 |
|
61 |
58 |
$0.00 |
| 91301 |
|
37 |
37 |
$0.00 |
| 91300 |
|
583 |
536 |
$0.00 |
| 91312 |
|
91 |
91 |
$0.00 |