| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
8,462 |
8,085 |
$3.85M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
12,716 |
12,383 |
$1.54M |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
11,069 |
10,755 |
$382K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
5,352 |
5,202 |
$259K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
1,628 |
1,616 |
$115K |
| E0570 |
Nebulizer, with compressor |
40 |
40 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,083 |
1,071 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
242 |
238 |
$1K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
13 |
13 |
$508.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$45.73 |
| A4259 |
Lancets, per box of 100 |
25 |
24 |
$1.85 |