| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
20,058 |
15,920 |
$1.45M |
| A4230 |
Infus insulin pump non needl |
9,856 |
8,782 |
$1.19M |
| E0784 |
Ext amb infusn pump insulin |
6,108 |
5,111 |
$1.13M |
| A9276 |
Disposable sensor, cgm sys |
3,210 |
2,656 |
$800K |
| A4232 |
Syringe w/needle insulin 3cc |
10,491 |
9,347 |
$306K |
| K0553 |
Ther cgm supply allowance |
9,946 |
8,019 |
$299K |
| A4351 |
Straight tip urine catheter |
2,493 |
2,252 |
$299K |
| E2103 |
Non-adju cgm receiver/mon |
1,813 |
1,345 |
$92K |
| A4238 |
Adju cgm supply allowance |
763 |
596 |
$60K |
| A9277 |
External transmitter, cgm |
30 |
29 |
$16K |
| K0554 |
Ther cgm receiver/monitor |
882 |
684 |
$14K |
| A4231 |
Infusion insulin pump needle |
90 |
73 |
$10K |
| A4357 |
Bedside drainage bag |
326 |
312 |
$2K |
| A4402 |
Lubricant per ounce |
335 |
313 |
$1K |
| A4358 |
Urinary leg or abdomen bag |
132 |
127 |
$752.49 |
| A4349 |
Disposable male external cat |
12 |
12 |
$564.26 |
| A4409 |
Ost skn barr convex <=4 sq i |
12 |
12 |
$554.94 |
| A4456 |
Adhesive remover, wipes |
122 |
116 |
$498.26 |
| A4224 |
Supply insulin inf cath/wk |
3,254 |
3,033 |
$364.14 |
| A5120 |
Skin barrier, wipe or swab |
107 |
91 |
$360.66 |
| A4225 |
Sup/ext insulin inf pump syr |
3,238 |
3,017 |
$98.40 |
| K0603 |
Repl batt alkaline 1.5 v |
27 |
25 |
$0.00 |