| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
10,461 |
10,198 |
$2.52M |
| A9277 |
External transmitter, cgm |
2,359 |
2,354 |
$593K |
| A4554 |
Disposable underpads |
7,723 |
7,336 |
$493K |
| T4533 |
Youth size brief/diaper |
3,534 |
3,346 |
$254K |
| T4522 |
Adult size brief/diaper med |
1,928 |
1,831 |
$212K |
| A4239 |
Non-adju cgm supply allow |
1,323 |
1,297 |
$175K |
| T4523 |
Adult size brief/diaper lg |
1,279 |
1,224 |
$171K |
| T4537 |
Reusable underpad bed size |
4,933 |
4,672 |
$166K |
| T4524 |
Adult size brief/diaper xl |
972 |
942 |
$136K |
| K0553 |
Ther cgm supply allowance |
752 |
736 |
$125K |
| T4521 |
Adult size brief/diaper sm |
1,521 |
1,467 |
$125K |
| E0603 |
Electric breast pump |
1,026 |
1,015 |
$122K |
| A4230 |
Infus insulin pump non needl |
692 |
675 |
$92K |
| A9274 |
Ext amb insulin delivery sys |
84 |
84 |
$77K |
| E0570 |
Nebulizer with compression |
787 |
779 |
$64K |
| T4530 |
Ped size brief/diaper lg |
764 |
720 |
$55K |
| A9278 |
External receiver, cgm sys |
190 |
188 |
$36K |
| T4534 |
Youth size pull-on |
385 |
384 |
$30K |
| A4232 |
Syringe w/needle insulin 3cc |
699 |
682 |
$24K |
| S8270 |
Enuresis alarm |
560 |
560 |
$21K |
| A4927 |
Non-sterile gloves |
4,101 |
3,870 |
$19K |
| B4035 |
Enteral feed supp pump per d |
124 |
111 |
$17K |
| A4456 |
Adhesive remover, wipes |
490 |
482 |
$6K |
| K1034 |
Covid test self-admn/collect |
2,881 |
1,667 |
$5K |
| T4535 |
Disposable liner/shield/pad |
102 |
99 |
$4K |
| A6257 |
Transparent film <= 16 sq in |
316 |
305 |
$3K |
| K1005 |
Disp col sto bag breast milk |
32 |
32 |
$1K |
| E0605 |
Vaporizer room type |
81 |
81 |
$875.57 |
| S8101 |
Spacer with mask |
15 |
15 |
$420.45 |