| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
287,669 |
262,252 |
$24.89M |
| K0553 |
Ther cgm supply allowance |
219,902 |
202,074 |
$10.91M |
| A9276 |
Disposable sensor, cgm sys |
21,294 |
19,996 |
$8.24M |
| Z5999 |
|
19,614 |
15,214 |
$6.76M |
| E0784 |
Ext amb infusn pump insulin |
9,250 |
8,806 |
$3.53M |
| E0483 |
Hi freq chest wall oscil sys |
5,806 |
5,803 |
$2.23M |
| A4230 |
Infus insulin pump non needl |
7,992 |
7,743 |
$2.09M |
| A9277 |
External transmitter, cgm |
3,207 |
3,016 |
$1.86M |
| A9274 |
Ext amb insulin delivery sys |
2,155 |
2,015 |
$1.74M |
| E2103 |
Non-adju cgm receiver/mon |
22,800 |
20,352 |
$1.63M |
| K0554 |
Ther cgm receiver/monitor |
19,916 |
18,113 |
$1.36M |
| A9278 |
External receiver, cgm sys |
2,981 |
2,737 |
$937K |
| A4232 |
Syringe w/needle insulin 3cc |
8,037 |
7,775 |
$503K |
| A4253 |
Blood glucose/reagent strips |
23,288 |
20,687 |
$197K |
| A4224 |
Supply insulin inf cath/wk |
2,371 |
2,104 |
$114K |
| A4225 |
Sup/ext insulin inf pump syr |
2,357 |
2,105 |
$61K |
| A4238 |
Adju cgm supply allowance |
753 |
697 |
$61K |
| A4259 |
Lancets per box |
19,798 |
17,755 |
$60K |
| E0607 |
Blood glucose monitor home |
3,923 |
3,369 |
$29K |
| A4256 |
Calibrator solution/chips |
16,932 |
15,188 |
$17K |
| A4258 |
Lancet device each |
8,162 |
7,236 |
$15K |
| A4245 |
Alcohol wipes per box |
2,276 |
2,205 |
$15K |
| J1817 |
Insulin for insulin pump use |
229 |
172 |
$2K |
| S5102 |
Adult day care per diem |
13 |
12 |
$1K |
| A4215 |
Sterile needle |
342 |
331 |
$1K |
| A4233 |
Alkalin batt for glucose mon |
101 |
92 |
$25.88 |
| A4206 |
1 cc sterile syringe&needle |
14 |
13 |
$25.00 |