| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
297 |
294 |
$768.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
516 |
452 |
$434.96 |
| A4670 |
Automatic blood pressure monitor |
13 |
13 |
$322.14 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
119 |
113 |
$144.50 |
| A4259 |
Lancets, per box of 100 |
399 |
347 |
$89.48 |
| A5120 |
Skin barrier, wipes or swabs, each |
13 |
13 |
$0.00 |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
13 |
12 |
$0.00 |