| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
18,680 |
16,465 |
$8.82M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
47,415 |
38,808 |
$8.72M |
| E0784 |
External ambulatory infusion pump, insulin |
12,130 |
5,721 |
$7.70M |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
39,685 |
30,852 |
$3.26M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
12,761 |
8,624 |
$2.95M |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
46,031 |
38,597 |
$1.56M |
| A4231 |
Infusion set for external insulin pump, needle type |
4,915 |
4,260 |
$453K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
635 |
497 |
$299K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
7,662 |
5,351 |
$264K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
10,445 |
7,786 |
$208K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
3,437 |
2,430 |
$187K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
9,895 |
8,287 |
$180K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
6,229 |
4,285 |
$151K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
884 |
706 |
$148K |
| A4259 |
Lancets, per box of 100 |
7,014 |
5,890 |
$146K |
| A5120 |
Skin barrier, wipes or swabs, each |
32,088 |
28,417 |
$137K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
1,599 |
1,420 |
$42K |
| A4456 |
Adhesive remover, wipes, any type, each |
3,361 |
3,007 |
$14K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
462 |
313 |
$7K |
| E2102 |
Adjunctive, non-implanted continuous glucose monitor or receiver |
50 |
37 |
$5K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
15 |
13 |
$4K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
535 |
396 |
$4K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
1,492 |
879 |
$1K |