| 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 |
41,172 |
39,609 |
$23.71M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
37,017 |
36,119 |
$19.61M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
26,824 |
26,507 |
$6.49M |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
21,075 |
20,648 |
$1.32M |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
2,599 |
2,472 |
$1.11M |
| E0784 |
External ambulatory infusion pump, insulin |
2,011 |
1,958 |
$728K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
4,463 |
4,166 |
$596K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,121 |
2,081 |
$471K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
1,299 |
1,279 |
$343K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
634 |
615 |
$139K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
4,825 |
4,154 |
$111K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
212 |
209 |
$65K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
281 |
226 |
$15K |
| A4259 |
Lancets, per box of 100 |
249 |
222 |
$3K |
| A4245 |
Alcohol wipes, per box |
89 |
89 |
$344.02 |