| 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 |
337 |
322 |
$40K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,124 |
1,060 |
$22K |
| 0002A |
|
270 |
269 |
$10K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
173 |
169 |
$9K |
| 0001A |
|
270 |
270 |
$9K |
| A4215 |
Needle, sterile, any size, each |
309 |
300 |
$6K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
29 |
28 |
$4K |
| 0004A |
|
53 |
53 |
$2K |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
40 |
38 |
$2K |
| 0064A |
|
24 |
24 |
$960.00 |
| 0124A |
|
12 |
12 |
$480.00 |
| A4259 |
Lancets, per box of 100 |
205 |
202 |
$474.32 |
| 90686 |
|
30 |
30 |
$245.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$71.26 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 91301 |
|
31 |
31 |
$0.00 |
| 91300 |
|
396 |
368 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |