| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
7,300 |
6,821 |
$6.74M |
| Z5999 |
|
4,101 |
3,110 |
$1.66M |
| A4230 |
Infus insulin pump non needl |
6,693 |
6,600 |
$1.62M |
| A9277 |
External transmitter, cgm |
1,540 |
1,509 |
$1.09M |
| E0784 |
Ext amb infusn pump insulin |
1,244 |
1,198 |
$803K |
| A4232 |
Syringe w/needle insulin 3cc |
6,619 |
6,530 |
$499K |
| A9278 |
External receiver, cgm sys |
559 |
554 |
$348K |
| K0553 |
Ther cgm supply allowance |
3,352 |
3,202 |
$327K |
| A9274 |
Ext amb insulin delivery sys |
283 |
264 |
$128K |
| K0554 |
Ther cgm receiver/monitor |
395 |
384 |
$54K |
| A6257 |
Transparent film <= 16 sq in |
1,778 |
1,745 |
$41K |
| A4245 |
Alcohol wipes per box |
860 |
849 |
$9K |
| A4224 |
Supply insulin inf cath/wk |
280 |
231 |
$8K |
| A5120 |
Skin barrier, wipe or swab |
1,768 |
1,729 |
$7K |
| A4456 |
Adhesive remover, wipes |
1,538 |
1,522 |
$6K |
| 99429 |
|
14 |
13 |
$5K |
| A4225 |
Sup/ext insulin inf pump syr |
147 |
125 |
$2K |
| K0601 |
Repl batt silver oxide 1.5 v |
15 |
15 |
$16.59 |
| A4239 |
Non-adju cgm supply allow |
26 |
25 |
$0.00 |