| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
262 |
257 |
$888K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
2,176 |
2,117 |
$243K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,388 |
2,313 |
$78K |
| A5120 |
Skin barrier, wipes or swabs, each |
199 |
198 |
$2K |
| A4231 |
Infusion set for external insulin pump, needle type |
25 |
25 |
$2K |
| A4456 |
Adhesive remover, wipes, any type, each |
162 |
159 |
$2K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
28 |
28 |
$1K |