| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
186,106 |
140,201 |
$7.90M |
| K0553 |
Ther cgm supply allowance |
284,277 |
204,719 |
$7.22M |
| A9276 |
Disposable sensor, cgm sys |
20,335 |
13,365 |
$4.14M |
| A4253 |
Blood glucose/reagent strips |
631,190 |
471,585 |
$2.86M |
| A9277 |
External transmitter, cgm |
3,498 |
2,886 |
$720K |
| A9278 |
External receiver, cgm sys |
2,397 |
1,991 |
$661K |
| K0554 |
Ther cgm receiver/monitor |
17,760 |
12,956 |
$591K |
| E2103 |
Non-adju cgm receiver/mon |
9,552 |
7,589 |
$537K |
| A4256 |
Calibrator solution/chips |
583,193 |
439,317 |
$480K |
| A4259 |
Lancets per box |
562,695 |
422,658 |
$395K |
| E0607 |
Blood glucose monitor home |
39,881 |
30,945 |
$186K |
| A4258 |
Lancet device each |
248,903 |
191,701 |
$134K |
| A4230 |
Infus insulin pump non needl |
781 |
462 |
$56K |
| A4233 |
Alkalin batt for glucose mon |
155,480 |
119,238 |
$35K |
| A4351 |
Straight tip urine catheter |
164 |
139 |
$31K |
| A4232 |
Syringe w/needle insulin 3cc |
841 |
503 |
$16K |
| A4235 |
Lithium batt for glucose mon |
65,281 |
50,638 |
$14K |
| A9999 |
Dme supply or accessory, nos |
1,116 |
538 |
$3K |
| Q0514 |
Disp fee inhal drugs/90 days |
31 |
30 |
$346.16 |
| A7003 |
Nebulizer administration set |
16 |
16 |
$51.84 |
| E0570 |
Nebulizer with compression |
19 |
19 |
$50.07 |
| A7015 |
Aerosol mask used w nebulize |
28 |
28 |
$21.04 |
| A7013 |
Disposable compressor filter |
28 |
28 |
$16.57 |
| A7004 |
Disposable nebulizer sml vol |
12 |
12 |
$0.25 |