| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
18,189 |
16,914 |
$8.11M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
19,764 |
18,707 |
$6.35M |
| E0784 |
External ambulatory infusion pump, insulin |
3,793 |
3,493 |
$2.05M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
3,723 |
3,452 |
$2.04M |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
1,090 |
1,014 |
$543K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
2,943 |
2,781 |
$399K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,817 |
2,651 |
$96K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,187 |
1,156 |
$20K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,211 |
1,186 |
$6K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
60 |
60 |
$2K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
51 |
50 |
$1K |
| A4456 |
Adhesive remover, wipes, any type, each |
171 |
167 |
$608.62 |