| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
203,747 |
128,388 |
$47.07M |
| E0784 |
Ext amb infusn pump insulin |
57,178 |
48,437 |
$31.03M |
| A4230 |
Infus insulin pump non needl |
197,874 |
180,103 |
$27.84M |
| A9277 |
External transmitter, cgm |
21,237 |
19,633 |
$12.17M |
| A4232 |
Syringe w/needle insulin 3cc |
215,551 |
195,912 |
$8.10M |
| A4239 |
Non-adju cgm supply allow |
51,151 |
42,145 |
$7.59M |
| K0553 |
Ther cgm supply allowance |
47,047 |
39,434 |
$5.29M |
| A9274 |
Ext amb insulin delivery sys |
8,269 |
6,791 |
$3.16M |
| A9278 |
External receiver, cgm sys |
4,276 |
3,966 |
$2.13M |
| A4231 |
Infusion insulin pump needle |
17,066 |
15,817 |
$1.95M |
| A4238 |
Adju cgm supply allowance |
4,508 |
4,199 |
$663K |
| A4224 |
Supply insulin inf cath/wk |
16,226 |
13,017 |
$471K |
| E0603 |
Electric breast pump |
3,151 |
2,979 |
$440K |
| A6257 |
Transparent film <= 16 sq in |
34,387 |
29,231 |
$409K |
| A4253 |
Blood glucose/reagent strips |
6,300 |
4,674 |
$335K |
| K0554 |
Ther cgm receiver/monitor |
3,256 |
2,623 |
$252K |
| A5120 |
Skin barrier, wipe or swab |
83,429 |
71,901 |
$211K |
| A4225 |
Sup/ext insulin inf pump syr |
15,938 |
13,068 |
$184K |
| E2103 |
Non-adju cgm receiver/mon |
2,466 |
1,766 |
$164K |
| A4221 |
Supp non-insulin inf cath/wk |
3,004 |
2,137 |
$72K |
| E0607 |
Blood glucose monitor home |
735 |
669 |
$57K |
| A4259 |
Lancets per box |
4,880 |
3,541 |
$46K |
| E2102 |
Adju cgm receiver/monitor |
1,076 |
923 |
$32K |
| K0552 |
Sup/ext non-ins inf pump syr |
2,740 |
2,132 |
$25K |
| E1399 |
Durable medical equipment mi |
43 |
22 |
$5K |
| A4456 |
Adhesive remover, wipes |
1,582 |
1,467 |
$5K |
| A4256 |
Calibrator solution/chips |
918 |
773 |
$4K |
| A4258 |
Lancet device each |
113 |
88 |
$715.27 |