| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
45,044 |
43,371 |
$10.88M |
| K0553 |
Ther cgm supply allowance |
25,854 |
25,300 |
$9.01M |
| A9274 |
Ext amb insulin delivery sys |
8,147 |
6,790 |
$3.38M |
| E0784 |
Ext amb infusn pump insulin |
2,032 |
1,944 |
$1.66M |
| A4230 |
Infus insulin pump non needl |
7,653 |
7,258 |
$1.16M |
| A9276 |
Disposable sensor, cgm sys |
1,170 |
1,168 |
$765K |
| E2103 |
Non-adju cgm receiver/mon |
2,313 |
2,199 |
$512K |
| A4232 |
Syringe w/needle insulin 3cc |
8,571 |
7,532 |
$335K |
| K0554 |
Ther cgm receiver/monitor |
1,294 |
1,241 |
$321K |
| A9277 |
External transmitter, cgm |
286 |
267 |
$127K |
| A4231 |
Infusion insulin pump needle |
570 |
531 |
$39K |
| A4225 |
Sup/ext insulin inf pump syr |
858 |
663 |
$27K |
| A6257 |
Transparent film <= 16 sq in |
375 |
373 |
$4K |
| A5120 |
Skin barrier, wipe or swab |
417 |
415 |
$1K |
| A4456 |
Adhesive remover, wipes |
446 |
445 |
$593.50 |