| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Ther cgm supply allowance |
45,712 |
42,453 |
$15.46M |
| A4239 |
Non-adju cgm supply allow |
42,973 |
39,440 |
$10.06M |
| A9274 |
Ext amb insulin delivery sys |
11,365 |
10,642 |
$7.05M |
| A9276 |
Disposable sensor, cgm sys |
14,206 |
13,822 |
$5.99M |
| A4230 |
Infus insulin pump non needl |
18,665 |
18,064 |
$5.08M |
| A9999 |
Dme supply or accessory, nos |
4,326 |
4,181 |
$2.37M |
| A9277 |
External transmitter, cgm |
3,976 |
3,924 |
$1.39M |
| T4541 |
Large disposable underpad |
27,028 |
24,622 |
$1.11M |
| A4225 |
Sup/ext insulin inf pump syr |
19,877 |
19,230 |
$981K |
| A4253 |
Blood glucose/reagent strips |
8,162 |
7,805 |
$893K |
| E0784 |
Ext amb infusn pump insulin |
336 |
315 |
$824K |
| T4535 |
Disposable liner/shield/pad |
15,473 |
13,499 |
$741K |
| K0554 |
Ther cgm receiver/monitor |
2,832 |
2,518 |
$724K |
| T4526 |
Adult size pull-on med |
6,468 |
5,942 |
$608K |
| T4527 |
Adult size pull-on lg |
5,944 |
5,468 |
$558K |
| T4523 |
Adult size brief/diaper lg |
5,553 |
4,802 |
$553K |
| T4534 |
Youth size pull-on |
4,721 |
4,201 |
$480K |
| A9278 |
External receiver, cgm sys |
801 |
789 |
$427K |
| T4522 |
Adult size brief/diaper med |
5,428 |
4,962 |
$406K |
| T4528 |
Adult size pull-on xl |
4,084 |
3,736 |
$382K |
| T4524 |
Adult size brief/diaper xl |
3,339 |
3,006 |
$330K |
| A9900 |
Supply/accessory/service |
1,529 |
1,329 |
$252K |
| A4238 |
Adju cgm supply allowance |
510 |
421 |
$238K |
| A6258 |
Transparent film >16<=48 in |
4,786 |
4,400 |
$224K |
| A4927 |
Non-sterile gloves |
17,668 |
15,075 |
$222K |
| T4530 |
Ped size brief/diaper lg |
2,501 |
1,991 |
$213K |
| T4543 |
Adult disp brief/diap abv xl |
1,041 |
977 |
$180K |
| A4231 |
Infusion insulin pump needle |
1,088 |
1,057 |
$168K |
| E2103 |
Non-adju cgm receiver/mon |
984 |
829 |
$136K |
| A4351 |
Straight tip urine catheter |
754 |
659 |
$127K |
| E1399 |
Durable medical equipment mi |
89 |
78 |
$114K |
| T4521 |
Adult size brief/diaper sm |
1,465 |
1,328 |
$112K |
| T4544 |
Adlt disp und/pull on abv xl |
686 |
630 |
$106K |
| A5120 |
Skin barrier, wipe or swab |
9,092 |
8,376 |
$104K |
| A6530 |
Compression stocking bk18-30 |
983 |
842 |
$88K |
| A4259 |
Lancets per box |
4,536 |
4,415 |
$79K |
| A6257 |
Transparent film <= 16 sq in |
4,429 |
4,312 |
$75K |
| A4670 |
Automatic bp monitor, dial |
905 |
812 |
$51K |
| T4525 |
Adult size pull-on sm |
502 |
441 |
$46K |
| A9286 |
Any hygienic item, device |
2,164 |
1,687 |
$44K |
| E0143 |
Walker folding wheeled w/o s |
599 |
546 |
$20K |
| E0245 |
Tub stool or bench |
359 |
293 |
$19K |
| A4456 |
Adhesive remover, wipes |
1,640 |
1,429 |
$15K |
| L3908 |
Who cock-up nonmolde pre ots |
151 |
108 |
$6K |
| A4357 |
Bedside drainage bag |
397 |
299 |
$5K |
| E0601 |
Cont airway pressure device |
129 |
102 |
$5K |
| A4245 |
Alcohol wipes per box |
787 |
779 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
26 |
25 |
$2K |
| E0570 |
Nebulizer with compression |
40 |
40 |
$2K |
| L1810 |
Ko elastic with joints |
30 |
28 |
$2K |
| E0562 |
Humidifier heated used w pap |
127 |
106 |
$2K |
| A6533 |
Gc stocking thighlngth 18-30 |
15 |
14 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
75 |
69 |
$1K |
| A4233 |
Alkalin batt for glucose mon |
470 |
465 |
$624.92 |
| A6216 |
Non-sterile gauze<=16 sq in |
92 |
74 |
$557.44 |
| E0156 |
Walker seat attachment |
30 |
29 |
$517.88 |
| A4217 |
Sterile water/saline, 500 ml |
31 |
24 |
$482.16 |
| A6402 |
Sterile gauze <= 16 sq in |
51 |
41 |
$445.82 |
| A7038 |
Pos airway pressure filter |
75 |
69 |
$257.71 |
| A4450 |
Non-waterproof tape |
12 |
12 |
$60.67 |
| A7015 |
Aerosol mask used w nebulize |
13 |
13 |
$20.80 |