| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
7,938 |
6,983 |
$843K |
| E0784 |
Ext amb infusn pump insulin |
4,610 |
4,351 |
$509K |
| K0553 |
Ther cgm supply allowance |
8,474 |
7,740 |
$508K |
| A4230 |
Infus insulin pump non needl |
1,681 |
1,639 |
$180K |
| A9276 |
Disposable sensor, cgm sys |
515 |
478 |
$162K |
| A4224 |
Supply insulin inf cath/wk |
3,255 |
2,977 |
$130K |
| A4238 |
Adju cgm supply allowance |
1,121 |
1,097 |
$97K |
| A4232 |
Syringe w/needle insulin 3cc |
2,344 |
2,311 |
$73K |
| A4225 |
Sup/ext insulin inf pump syr |
3,169 |
2,913 |
$51K |
| A4231 |
Infusion insulin pump needle |
394 |
393 |
$48K |
| K0554 |
Ther cgm receiver/monitor |
68 |
63 |
$15K |
| E2103 |
Non-adju cgm receiver/mon |
41 |
39 |
$9K |
| K0603 |
Repl batt alkaline 1.5 v |
93 |
92 |
$16.61 |