| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
42,661 |
35,888 |
$14.40M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
12,311 |
11,079 |
$5.55M |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
30,109 |
27,077 |
$4.49M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
10,581 |
9,188 |
$3.85M |
| E0784 |
External ambulatory infusion pump, insulin |
727 |
655 |
$2.52M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
9,215 |
7,487 |
$1.52M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
11,813 |
10,928 |
$1.06M |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
1,813 |
1,596 |
$910K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,338 |
1,478 |
$229K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
11,819 |
10,929 |
$199K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
482 |
437 |
$64K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
208 |
199 |
$15K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
111 |
101 |
$6K |
| A4452 |
Tape, waterproof, per 18 square inches |
12 |
12 |
$186.00 |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
37 |
36 |
$96.42 |
| A5120 |
Skin barrier, wipes or swabs, each |
15 |
12 |
$84.24 |