| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
45,044 |
43,371 |
$10.88M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
25,854 |
25,300 |
$9.01M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
8,147 |
6,790 |
$3.38M |
| E0784 |
External ambulatory infusion pump, insulin |
2,032 |
1,944 |
$1.66M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
7,653 |
7,258 |
$1.16M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
1,170 |
1,168 |
$765K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
2,313 |
2,199 |
$512K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
8,571 |
7,532 |
$335K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
1,294 |
1,241 |
$321K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
286 |
267 |
$127K |
| A4231 |
Infusion set for external insulin pump, needle type |
570 |
531 |
$39K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
858 |
663 |
$27K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
375 |
373 |
$4K |
| A5120 |
Skin barrier, wipes or swabs, each |
417 |
415 |
$1K |
| A4456 |
Adhesive remover, wipes, any type, each |
446 |
445 |
$593.50 |