| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
874 |
733 |
$61K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
175 |
86 |
$31K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
122 |
102 |
$28K |
| E1399 |
Durable medical equipment, miscellaneous |
171 |
113 |
$13K |
| A4215 |
Needle, sterile, any size, each |
353 |
301 |
$12K |
| A4259 |
Lancets, per box of 100 |
712 |
614 |
$7K |
| A4258 |
Spring-powered device for lancet, each |
15 |
15 |
$279.06 |