| 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 |
48 |
45 |
$11K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
54 |
49 |
$9K |
| A4215 |
Needle, sterile, any size, each |
209 |
191 |
$6K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
68 |
62 |
$1K |