| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Ther cgm supply allowance |
3,277 |
3,074 |
$1.37M |
| A9274 |
Ext amb insulin delivery sys |
3,587 |
2,514 |
$1.10M |
| A9276 |
Disposable sensor, cgm sys |
6,522 |
4,744 |
$992K |
| A4239 |
Non-adju cgm supply allow |
1,244 |
1,149 |
$523K |
| A9277 |
External transmitter, cgm |
2,282 |
1,691 |
$279K |
| A4230 |
Infus insulin pump non needl |
506 |
340 |
$61K |
| A9278 |
External receiver, cgm sys |
275 |
135 |
$52K |
| A4232 |
Syringe w/needle insulin 3cc |
506 |
342 |
$15K |
| A4253 |
Blood glucose/reagent strips |
258 |
193 |
$12K |
| E0784 |
Ext amb infusn pump insulin |
18 |
12 |
$5K |