| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
43,076 |
39,132 |
$93.55M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
226,549 |
198,266 |
$84.94M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
337,915 |
318,602 |
$48.23M |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
393,930 |
373,922 |
$16.33M |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
175,066 |
144,831 |
$14.83M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
28,055 |
25,006 |
$12.35M |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
23,274 |
20,175 |
$4.89M |
| A4231 |
Infusion set for external insulin pump, needle type |
39,073 |
37,287 |
$4.41M |
| Z5999 |
|
5,940 |
5,467 |
$3.38M |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
114,651 |
106,624 |
$3.07M |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13,806 |
11,894 |
$947K |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
26,524 |
25,574 |
$647K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
6,372 |
6,074 |
$214K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
4,829 |
4,127 |
$180K |
| E2102 |
Adjunctive, non-implanted continuous glucose monitor or receiver |
709 |
646 |
$39K |
| A4245 |
Alcohol wipes, per box |
4,426 |
4,188 |
$15K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,604 |
1,546 |
$15K |
| A4259 |
Lancets, per box of 100 |
1,521 |
1,323 |
$13K |
| A4452 |
Tape, waterproof, per 18 square inches |
3,307 |
3,225 |
$12K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
245 |
208 |
$3K |
| A4456 |
Adhesive remover, wipes, any type, each |
326 |
317 |
$3K |
| E0607 |
Home blood glucose monitor |
27 |
26 |
$867.03 |