| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
26,096 |
16,276 |
$15.76M |
| A9274 |
Ext amb insulin delivery sys |
2,543 |
1,600 |
$2.75M |
| A4253 |
Blood glucose/reagent strips |
18,334 |
16,878 |
$1.62M |
| A9278 |
External receiver, cgm sys |
2,596 |
1,725 |
$1.49M |
| A9277 |
External transmitter, cgm |
1,522 |
1,191 |
$852K |
| A4353 |
Intermittent urinary cath |
820 |
745 |
$516K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
611 |
597 |
$156K |
| A5063 |
Drain ostomy pouch w/flange |
503 |
489 |
$66K |
| A4259 |
Lancets per box |
16,951 |
15,752 |
$60K |
| E0784 |
Ext amb infusn pump insulin |
17 |
14 |
$52K |
| A4406 |
Pectin based ostomy paste |
591 |
589 |
$32K |
| A4452 |
Waterproof tape |
407 |
404 |
$29K |
| E0607 |
Blood glucose monitor home |
1,697 |
1,650 |
$26K |
| A4456 |
Adhesive remover, wipes |
638 |
629 |
$23K |
| A5120 |
Skin barrier, wipe or swab |
515 |
509 |
$17K |
| A4371 |
Skin barrier powder per oz |
550 |
540 |
$14K |
| A6260 |
Wound cleanser any type/size |
421 |
409 |
$9K |
| A4367 |
Ostomy belt |
205 |
205 |
$4K |