| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
203,747 |
128,388 |
$47.07M |
| E0784 |
External ambulatory infusion pump, insulin |
57,178 |
48,437 |
$31.03M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
197,874 |
180,103 |
$27.84M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
21,237 |
19,633 |
$12.17M |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
215,551 |
195,912 |
$8.10M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
51,151 |
42,145 |
$7.59M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
47,047 |
39,434 |
$5.29M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
8,269 |
6,791 |
$3.16M |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
4,276 |
3,966 |
$2.13M |
| A4231 |
Infusion set for external insulin pump, needle type |
17,066 |
15,817 |
$1.95M |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
4,508 |
4,199 |
$663K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
16,226 |
13,017 |
$471K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
3,151 |
2,979 |
$440K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
34,387 |
29,231 |
$409K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
6,300 |
4,674 |
$335K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
3,256 |
2,623 |
$252K |
| A5120 |
Skin barrier, wipes or swabs, each |
83,429 |
71,901 |
$211K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
15,938 |
13,068 |
$184K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
2,466 |
1,766 |
$164K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
3,004 |
2,137 |
$72K |
| E0607 |
Home blood glucose monitor |
735 |
669 |
$57K |
| A4259 |
Lancets, per box of 100 |
4,880 |
3,541 |
$46K |
| E2102 |
Adjunctive, non-implanted continuous glucose monitor or receiver |
1,076 |
923 |
$32K |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
2,740 |
2,132 |
$25K |
| E1399 |
Durable medical equipment, miscellaneous |
43 |
22 |
$5K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,582 |
1,467 |
$5K |
| A4256 |
Normal, low and high calibrator solution / chips |
918 |
773 |
$4K |
| A4258 |
Spring-powered device for lancet, each |
113 |
88 |
$715.27 |