| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z5999 |
|
24,576 |
19,083 |
$10.51M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
21,785 |
20,662 |
$9.42M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
31,168 |
30,388 |
$5.34M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
6,137 |
6,098 |
$2.48M |
| E0784 |
External ambulatory infusion pump, insulin |
687 |
679 |
$2.40M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
4,490 |
4,257 |
$2.31M |
| A4215 |
Needle, sterile, any size, each |
38,687 |
36,045 |
$2.21M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
20,990 |
19,858 |
$1.54M |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
37,384 |
36,481 |
$1.47M |
| 99199 |
Unlisted special service, procedure or report |
2,127 |
1,814 |
$817K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
10,545 |
10,464 |
$756K |
| A4231 |
Infusion set for external insulin pump, needle type |
5,850 |
5,742 |
$515K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
1,201 |
1,199 |
$501K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
1,905 |
1,888 |
$271K |
| 99429 |
|
565 |
476 |
$260K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,927 |
2,908 |
$107K |
| A4245 |
Alcohol wipes, per box |
44,240 |
44,118 |
$49K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,319 |
1,309 |
$45K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
379 |
349 |
$40K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
3,384 |
3,258 |
$33K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
347 |
347 |
$28K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
408 |
406 |
$25K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
420 |
416 |
$22K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
300 |
299 |
$21K |
| T5999 |
Supply, not otherwise specified |
8,591 |
8,053 |
$20K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,154 |
1,153 |
$20K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,468 |
2,121 |
$14K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
350 |
348 |
$13K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
197 |
197 |
$12K |
| A4456 |
Adhesive remover, wipes, any type, each |
477 |
477 |
$12K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
198 |
196 |
$9K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
852 |
846 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
345 |
344 |
$6K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
78 |
78 |
$6K |
| A4335 |
Incontinence supply; miscellaneous |
578 |
573 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
53 |
52 |
$3K |
| E0607 |
Home blood glucose monitor |
96 |
96 |
$2K |
| A4259 |
Lancets, per box of 100 |
2,027 |
1,754 |
$2K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
63 |
61 |
$49.28 |