| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
41,134 |
35,284 |
$14.42M |
| A9274 |
Ext amb insulin delivery sys |
10,714 |
9,071 |
$6.80M |
| A4239 |
Non-adju cgm supply allow |
30,999 |
28,899 |
$5.12M |
| A9277 |
External transmitter, cgm |
8,725 |
7,549 |
$3.70M |
| K0553 |
Ther cgm supply allowance |
20,394 |
18,725 |
$2.94M |
| A4222 |
Infusion supplies with pump |
6,843 |
5,823 |
$2.61M |
| A4230 |
Infus insulin pump non needl |
13,704 |
11,845 |
$2.38M |
| E0784 |
Ext amb infusn pump insulin |
513 |
404 |
$912K |
| A4232 |
Syringe w/needle insulin 3cc |
13,516 |
11,721 |
$716K |
| A9278 |
External receiver, cgm sys |
1,695 |
1,392 |
$680K |
| E2103 |
Non-adju cgm receiver/mon |
1,118 |
1,067 |
$199K |
| K0554 |
Ther cgm receiver/monitor |
1,151 |
1,097 |
$108K |
| A4238 |
Adju cgm supply allowance |
351 |
343 |
$76K |
| A4231 |
Infusion insulin pump needle |
129 |
120 |
$9K |
| A4253 |
Blood glucose/reagent strips |
262 |
215 |
$6K |
| A4215 |
Sterile needle |
106 |
102 |
$3K |
| A4225 |
Sup/ext insulin inf pump syr |
101 |
92 |
$3K |
| A4224 |
Supply insulin inf cath/wk |
50 |
32 |
$2K |
| A4245 |
Alcohol wipes per box |
44 |
37 |
$345.83 |