| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
31,571 |
29,184 |
$3.24M |
| K0553 |
Ther cgm supply allowance |
10,648 |
9,432 |
$847K |
| A4230 |
Infus insulin pump non needl |
1,295 |
1,248 |
$339K |
| A9276 |
Disposable sensor, cgm sys |
433 |
364 |
$162K |
| A4232 |
Syringe w/needle insulin 3cc |
1,281 |
1,254 |
$162K |
| E2103 |
Non-adju cgm receiver/mon |
1,956 |
1,857 |
$120K |
| K0554 |
Ther cgm receiver/monitor |
694 |
635 |
$54K |
| A9277 |
External transmitter, cgm |
44 |
39 |
$10K |
| A4225 |
Sup/ext insulin inf pump syr |
16 |
14 |
$576.55 |
| A4224 |
Supply insulin inf cath/wk |
16 |
14 |
$160.52 |