| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
Ext amb insulin delivery sys |
18,189 |
16,914 |
$8.11M |
| A9276 |
Disposable sensor, cgm sys |
19,764 |
18,707 |
$6.35M |
| E0784 |
Ext amb infusn pump insulin |
3,793 |
3,493 |
$2.05M |
| A9277 |
External transmitter, cgm |
3,723 |
3,452 |
$2.04M |
| A9278 |
External receiver, cgm sys |
1,090 |
1,014 |
$543K |
| A4230 |
Infus insulin pump non needl |
2,943 |
2,781 |
$399K |
| A4232 |
Syringe w/needle insulin 3cc |
2,817 |
2,651 |
$96K |
| A6257 |
Transparent film <= 16 sq in |
1,187 |
1,156 |
$20K |
| A5120 |
Skin barrier, wipe or swab |
1,211 |
1,186 |
$6K |
| A4362 |
Solid skin barrier |
60 |
60 |
$2K |
| A4225 |
Sup/ext insulin inf pump syr |
51 |
50 |
$1K |
| A4456 |
Adhesive remover, wipes |
171 |
167 |
$608.62 |