| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
5,797 |
5,315 |
$1.30M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
18,523 |
17,759 |
$415K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
6,535 |
5,909 |
$391K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
1,172 |
1,149 |
$385K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
17,740 |
16,494 |
$365K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
1,910 |
1,803 |
$227K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
6,793 |
6,092 |
$178K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,326 |
2,166 |
$82K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
55 |
55 |
$37K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
936 |
904 |
$21K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
757 |
695 |
$18K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
866 |
820 |
$17K |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
22 |
22 |
$8K |
| A4231 |
Infusion set for external insulin pump, needle type |
71 |
69 |
$7K |
| K0603 |
Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each |
81 |
68 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
20 |
19 |
$877.81 |
| A4259 |
Lancets, per box of 100 |
16 |
15 |
$72.58 |