| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
3,342 |
2,634 |
$627K |
| E0784 |
External ambulatory infusion pump, insulin |
18 |
12 |
$26K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
3,435 |
2,697 |
$25K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
14 |
12 |
$929.70 |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
36 |
26 |
$0.00 |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
230 |
227 |
$0.00 |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
218 |
214 |
$0.00 |