| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
10,912 |
9,470 |
$3.61M |
| A4230 |
Infus insulin pump non needl |
19,938 |
17,649 |
$1.97M |
| E0784 |
Ext amb infusn pump insulin |
441 |
361 |
$1.03M |
| A4232 |
Syringe w/needle insulin 3cc |
20,952 |
18,555 |
$657K |
| A9277 |
External transmitter, cgm |
782 |
699 |
$339K |
| A4231 |
Infusion insulin pump needle |
1,140 |
831 |
$64K |
| A4224 |
Supply insulin inf cath/wk |
469 |
365 |
$20K |
| A4238 |
Adju cgm supply allowance |
15 |
14 |
$3K |
| A4225 |
Sup/ext insulin inf pump syr |
142 |
134 |
$2K |
| K0552 |
Sup/ext non-ins inf pump syr |
54 |
38 |
$0.00 |