| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
42,661 |
35,888 |
$14.40M |
| A9277 |
External transmitter, cgm |
12,311 |
11,079 |
$5.55M |
| A6258 |
Transparent film >16<=48 in |
30,109 |
27,077 |
$4.49M |
| A9274 |
Ext amb insulin delivery sys |
10,581 |
9,188 |
$3.85M |
| E0784 |
Ext amb infusn pump insulin |
727 |
655 |
$2.52M |
| A4239 |
Non-adju cgm supply allow |
9,215 |
7,487 |
$1.52M |
| A4230 |
Infus insulin pump non needl |
11,813 |
10,928 |
$1.06M |
| A9278 |
External receiver, cgm sys |
1,813 |
1,596 |
$910K |
| K0553 |
Ther cgm supply allowance |
2,338 |
1,478 |
$229K |
| A4232 |
Syringe w/needle insulin 3cc |
11,819 |
10,929 |
$199K |
| E2103 |
Non-adju cgm receiver/mon |
482 |
437 |
$64K |
| A4253 |
Blood glucose/reagent strips |
208 |
199 |
$15K |
| K0554 |
Ther cgm receiver/monitor |
111 |
101 |
$6K |
| A4452 |
Waterproof tape |
12 |
12 |
$186.00 |
| A4364 |
Adhesive, liquid or equal |
37 |
36 |
$96.42 |
| A5120 |
Skin barrier, wipe or swab |
15 |
12 |
$84.24 |