| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
Ext amb infusn pump insulin |
43,076 |
39,132 |
$93.55M |
| A9276 |
Disposable sensor, cgm sys |
226,549 |
198,266 |
$84.94M |
| A4230 |
Infus insulin pump non needl |
337,915 |
318,602 |
$48.23M |
| A4232 |
Syringe w/needle insulin 3cc |
393,930 |
373,922 |
$16.33M |
| A4224 |
Supply insulin inf cath/wk |
175,066 |
144,831 |
$14.83M |
| A9277 |
External transmitter, cgm |
28,055 |
25,006 |
$12.35M |
| A4238 |
Adju cgm supply allowance |
23,274 |
20,175 |
$4.89M |
| A4231 |
Infusion insulin pump needle |
39,073 |
37,287 |
$4.41M |
| Z5999 |
|
5,940 |
5,467 |
$3.38M |
| A4225 |
Sup/ext insulin inf pump syr |
114,651 |
106,624 |
$3.07M |
| A4253 |
Blood glucose/reagent strips |
13,806 |
11,894 |
$947K |
| K0552 |
Sup/ext non-ins inf pump syr |
26,524 |
25,574 |
$647K |
| A6257 |
Transparent film <= 16 sq in |
6,372 |
6,074 |
$214K |
| A4221 |
Supp non-insulin inf cath/wk |
4,829 |
4,127 |
$180K |
| E2102 |
Adju cgm receiver/monitor |
709 |
646 |
$39K |
| A4245 |
Alcohol wipes per box |
4,426 |
4,188 |
$15K |
| A5120 |
Skin barrier, wipe or swab |
1,604 |
1,546 |
$15K |
| A4259 |
Lancets per box |
1,521 |
1,323 |
$13K |
| A4452 |
Waterproof tape |
3,307 |
3,225 |
$12K |
| A9999 |
Dme supply or accessory, nos |
245 |
208 |
$3K |
| A4456 |
Adhesive remover, wipes |
326 |
317 |
$3K |
| E0607 |
Blood glucose monitor home |
27 |
26 |
$867.03 |