| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
287,669 |
262,252 |
$24.89M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
219,902 |
202,074 |
$10.91M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
21,294 |
19,996 |
$8.24M |
| Z5999 |
|
19,614 |
15,214 |
$6.76M |
| E0784 |
External ambulatory infusion pump, insulin |
9,250 |
8,806 |
$3.53M |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
5,806 |
5,803 |
$2.23M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
7,992 |
7,743 |
$2.09M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
3,207 |
3,016 |
$1.86M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
2,155 |
2,015 |
$1.74M |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
22,800 |
20,352 |
$1.63M |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
19,916 |
18,113 |
$1.36M |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
2,981 |
2,737 |
$937K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
8,037 |
7,775 |
$503K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
23,288 |
20,687 |
$197K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
2,371 |
2,104 |
$114K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
2,357 |
2,105 |
$61K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
753 |
697 |
$61K |
| A4259 |
Lancets, per box of 100 |
19,798 |
17,755 |
$60K |
| E0607 |
Home blood glucose monitor |
3,923 |
3,369 |
$29K |
| A4256 |
Normal, low and high calibrator solution / chips |
16,932 |
15,188 |
$17K |
| A4258 |
Spring-powered device for lancet, each |
8,162 |
7,236 |
$15K |
| A4245 |
Alcohol wipes, per box |
2,276 |
2,205 |
$15K |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
229 |
172 |
$2K |
| S5102 |
Day care services, adult; per diem |
13 |
12 |
$1K |
| A4215 |
Needle, sterile, any size, each |
342 |
331 |
$1K |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
101 |
92 |
$25.88 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
14 |
13 |
$25.00 |