| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
206,299 |
171,138 |
$765K |
| A4256 |
Normal, low and high calibrator solution / chips |
201,788 |
167,461 |
$239K |
| A4259 |
Lancets, per box of 100 |
203,980 |
169,149 |
$73K |
| E0607 |
Home blood glucose monitor |
13,880 |
11,956 |
$71K |
| A4258 |
Spring-powered device for lancet, each |
96,662 |
81,296 |
$30K |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
91,371 |
77,150 |
$15K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
1,982 |
762 |
$6K |
| E2100 |
Blood glucose monitor with integrated voice synthesizer |
109 |
94 |
$2K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
23 |
15 |
$688.18 |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
23 |
15 |
$90.90 |