| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
84,317 |
72,752 |
$4.06M |
| A4215 |
Needle, sterile, any size, each |
27,048 |
21,976 |
$854K |
| A4259 |
Lancets, per box of 100 |
73,299 |
63,498 |
$726K |
| E0607 |
Home blood glucose monitor |
8,879 |
7,809 |
$510K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
1,436 |
1,013 |
$366K |
| A4245 |
Alcohol wipes, per box |
76,274 |
66,005 |
$168K |
| A4256 |
Normal, low and high calibrator solution / chips |
26,102 |
22,590 |
$168K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
6,665 |
6,249 |
$140K |
| A4258 |
Spring-powered device for lancet, each |
12,210 |
10,300 |
$139K |
| S8490 |
Insulin syringes (100 syringes, any size) |
5,796 |
5,295 |
$104K |
| A4554 |
Disposable underpads, all sizes |
662 |
543 |
$38K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
1,055 |
850 |
$25K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
376 |
349 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
162 |
98 |
$13K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
259 |
257 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
68 |
49 |
$8K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
70 |
57 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
676 |
598 |
$8K |
| A4335 |
Incontinence supply; miscellaneous |
761 |
642 |
$7K |