| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
3,703 |
2,694 |
$921K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
5,224 |
5,107 |
$872K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
8,974 |
7,685 |
$231K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
10,412 |
2,901 |
$192K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
6,558 |
293 |
$85K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
372 |
339 |
$39K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
717 |
440 |
$37K |
| A4259 |
Lancets, per box of 100 |
51 |
48 |
$1K |