| 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 |
324 |
265 |
$59K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
132 |
93 |
$20K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
55 |
38 |
$2K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
31 |
24 |
$815.50 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
13 |
13 |
$683.98 |
| A5120 |
Skin barrier, wipes or swabs, each |
15 |
12 |
$95.00 |