| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
884 |
865 |
$54K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,073 |
1,039 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
194 |
$2K |
| 99605 |
|
16 |
16 |
$1K |
| 99606 |
|
17 |
15 |
$565.35 |
| 99607 |
|
12 |
12 |
$412.69 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
16 |
$104.50 |