| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
31,571 |
29,184 |
$3.24M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
10,648 |
9,432 |
$847K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
1,295 |
1,248 |
$339K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
433 |
364 |
$162K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
1,281 |
1,254 |
$162K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
1,956 |
1,857 |
$120K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
694 |
635 |
$54K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
44 |
39 |
$10K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
16 |
14 |
$576.55 |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
16 |
14 |
$160.52 |