| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
45,366 |
43,113 |
$18.63M |
| A4222 |
Infusion supplies with pump |
12,606 |
11,892 |
$6.69M |
| A9277 |
External transmitter, cgm |
12,155 |
11,525 |
$5.54M |
| A9274 |
Ext amb insulin delivery sys |
8,700 |
8,214 |
$3.68M |
| A4239 |
Non-adju cgm supply allow |
17,290 |
15,707 |
$3.48M |
| K0553 |
Ther cgm supply allowance |
9,798 |
9,194 |
$1.74M |
| A4224 |
Supply insulin inf cath/wk |
4,831 |
3,828 |
$857K |
| A9278 |
External receiver, cgm sys |
1,372 |
1,290 |
$578K |
| A4253 |
Blood glucose/reagent strips |
7,801 |
7,170 |
$316K |
| E2103 |
Non-adju cgm receiver/mon |
1,178 |
1,117 |
$284K |
| E0784 |
Ext amb infusn pump insulin |
70 |
60 |
$117K |
| A4225 |
Sup/ext insulin inf pump syr |
4,473 |
3,886 |
$102K |
| A4230 |
Infus insulin pump non needl |
1,249 |
1,170 |
$69K |
| A4215 |
Sterile needle |
2,477 |
2,250 |
$52K |
| A4238 |
Adju cgm supply allowance |
96 |
88 |
$45K |
| K0554 |
Ther cgm receiver/monitor |
249 |
234 |
$38K |
| A4232 |
Syringe w/needle insulin 3cc |
1,230 |
1,162 |
$35K |
| A6257 |
Transparent film <= 16 sq in |
237 |
224 |
$17K |
| A4259 |
Lancets per box |
2,578 |
2,371 |
$11K |
| A5120 |
Skin barrier, wipe or swab |
886 |
818 |
$6K |
| A4206 |
1 cc sterile syringe&needle |
184 |
173 |
$5K |
| A4456 |
Adhesive remover, wipes |
381 |
358 |
$5K |
| A4245 |
Alcohol wipes per box |
532 |
503 |
$4K |
| E0607 |
Blood glucose monitor home |
39 |
36 |
$2K |
| A4250 |
Urine reagent strips/tablets |
13 |
12 |
$201.21 |
| A4258 |
Lancet device each |
14 |
14 |
$19.66 |