| 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 |
4,964 |
4,697 |
$1.05M |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,417 |
1,294 |
$279K |
| E0784 |
External ambulatory infusion pump, insulin |
268 |
248 |
$183K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
867 |
852 |
$85K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
1,153 |
1,096 |
$27K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
126 |
105 |
$20K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
68 |
63 |
$9K |
| A4231 |
Infusion set for external insulin pump, needle type |
64 |
63 |
$4K |