| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
481 |
479 |
$316K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
783 |
755 |
$109K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
162 |
134 |
$34K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
876 |
752 |
$22K |
| A4554 |
Disposable underpads, all sizes |
364 |
363 |
$15K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
131 |
129 |
$9K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
33 |
12 |
$7K |
| A4335 |
Incontinence supply; miscellaneous |
1,187 |
1,184 |
$7K |
| A5120 |
Skin barrier, wipes or swabs, each |
221 |
219 |
$3K |
| A4259 |
Lancets, per box of 100 |
115 |
114 |
$1K |