| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
19,493 |
19,332 |
$13.97M |
| A4230 |
Infus insulin pump non needl |
18,966 |
18,945 |
$7.08M |
| E0784 |
Ext amb infusn pump insulin |
1,625 |
1,617 |
$6.80M |
| A9277 |
External transmitter, cgm |
9,461 |
9,439 |
$4.39M |
| A4232 |
Syringe w/needle insulin 3cc |
18,532 |
18,510 |
$2.05M |
| A4238 |
Adju cgm supply allowance |
5,109 |
5,091 |
$1.26M |
| K0553 |
Ther cgm supply allowance |
2,921 |
2,873 |
$628K |
| A9278 |
External receiver, cgm sys |
1,033 |
1,031 |
$306K |
| A4239 |
Non-adju cgm supply allow |
2,266 |
2,258 |
$267K |
| A4253 |
Blood glucose/reagent strips |
905 |
890 |
$82K |
| K0554 |
Ther cgm receiver/monitor |
74 |
73 |
$14K |
| A4259 |
Lancets per box |
521 |
514 |
$5K |
| A6257 |
Transparent film <= 16 sq in |
214 |
211 |
$2K |
| E2103 |
Non-adju cgm receiver/mon |
13 |
13 |
$2K |
| A5120 |
Skin barrier, wipe or swab |
126 |
123 |
$1K |
| A4245 |
Alcohol wipes per box |
447 |
442 |
$858.81 |