| 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 |
7,938 |
6,983 |
$843K |
| E0784 |
External ambulatory infusion pump, insulin |
4,610 |
4,351 |
$509K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
8,474 |
7,740 |
$508K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
1,681 |
1,639 |
$180K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
515 |
478 |
$162K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
3,255 |
2,977 |
$130K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,121 |
1,097 |
$97K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,344 |
2,311 |
$73K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
3,169 |
2,913 |
$51K |
| A4231 |
Infusion set for external insulin pump, needle type |
394 |
393 |
$48K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
68 |
63 |
$15K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
41 |
39 |
$9K |
| K0603 |
Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each |
93 |
92 |
$16.61 |