| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
45,712 |
42,453 |
$15.46M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
42,973 |
39,440 |
$10.06M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
11,365 |
10,642 |
$7.05M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
14,206 |
13,822 |
$5.99M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
18,665 |
18,064 |
$5.08M |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
4,326 |
4,181 |
$2.37M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
3,976 |
3,924 |
$1.39M |
| T4541 |
Incontinence product, disposable underpad, large, each |
27,028 |
24,622 |
$1.11M |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
19,877 |
19,230 |
$981K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
8,162 |
7,805 |
$893K |
| E0784 |
External ambulatory infusion pump, insulin |
336 |
315 |
$824K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
15,473 |
13,499 |
$741K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
2,832 |
2,518 |
$724K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,468 |
5,942 |
$608K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,944 |
5,468 |
$558K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
5,553 |
4,802 |
$553K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
4,721 |
4,201 |
$480K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
801 |
789 |
$427K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
5,428 |
4,962 |
$406K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,084 |
3,736 |
$382K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,339 |
3,006 |
$330K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,529 |
1,329 |
$252K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
510 |
421 |
$238K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
4,786 |
4,400 |
$224K |
| A4927 |
Gloves, non-sterile, per 100 |
17,668 |
15,075 |
$222K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,501 |
1,991 |
$213K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,041 |
977 |
$180K |
| A4231 |
Infusion set for external insulin pump, needle type |
1,088 |
1,057 |
$168K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
984 |
829 |
$136K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
754 |
659 |
$127K |
| E1399 |
Durable medical equipment, miscellaneous |
89 |
78 |
$114K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,465 |
1,328 |
$112K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
686 |
630 |
$106K |
| A5120 |
Skin barrier, wipes or swabs, each |
9,092 |
8,376 |
$104K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
983 |
842 |
$88K |
| A4259 |
Lancets, per box of 100 |
4,536 |
4,415 |
$79K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
4,429 |
4,312 |
$75K |
| A4670 |
Automatic blood pressure monitor |
905 |
812 |
$51K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
502 |
441 |
$46K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
2,164 |
1,687 |
$44K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
599 |
546 |
$20K |
| E0245 |
Tub stool or bench |
359 |
293 |
$19K |
| A4456 |
Adhesive remover, wipes, any type, each |
1,640 |
1,429 |
$15K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
151 |
108 |
$6K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
397 |
299 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
129 |
102 |
$5K |
| A4245 |
Alcohol wipes, per box |
787 |
779 |
$2K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
26 |
25 |
$2K |
| E0570 |
Nebulizer, with compressor |
40 |
40 |
$2K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
30 |
28 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
127 |
106 |
$2K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
15 |
14 |
$2K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
75 |
69 |
$1K |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
470 |
465 |
$624.92 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
92 |
74 |
$557.44 |
| E0156 |
Seat attachment, walker |
30 |
29 |
$517.88 |
| A4217 |
Sterile water/saline, 500 ml |
31 |
24 |
$482.16 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
51 |
41 |
$445.82 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
75 |
69 |
$257.71 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
12 |
12 |
$60.67 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$20.80 |