| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9274 |
Ext amb insulin delivery sys |
18,680 |
16,465 |
$8.82M |
| A4230 |
Infus insulin pump non needl |
47,415 |
38,808 |
$8.72M |
| E0784 |
Ext amb infusn pump insulin |
12,130 |
5,721 |
$7.70M |
| A4253 |
Blood glucose/reagent strips |
39,685 |
30,852 |
$3.26M |
| A9276 |
Disposable sensor, cgm sys |
12,761 |
8,624 |
$2.95M |
| K0552 |
Sup/ext non-ins inf pump syr |
46,031 |
38,597 |
$1.56M |
| A4231 |
Infusion insulin pump needle |
4,915 |
4,260 |
$453K |
| A9277 |
External transmitter, cgm |
635 |
497 |
$299K |
| K0553 |
Ther cgm supply allowance |
7,662 |
5,351 |
$264K |
| A4225 |
Sup/ext insulin inf pump syr |
10,445 |
7,786 |
$208K |
| A4239 |
Non-adju cgm supply allow |
3,437 |
2,430 |
$187K |
| A6257 |
Transparent film <= 16 sq in |
9,895 |
8,287 |
$180K |
| A4224 |
Supply insulin inf cath/wk |
6,229 |
4,285 |
$151K |
| A4238 |
Adju cgm supply allowance |
884 |
706 |
$148K |
| A4259 |
Lancets per box |
7,014 |
5,890 |
$146K |
| A5120 |
Skin barrier, wipe or swab |
32,088 |
28,417 |
$137K |
| A4250 |
Urine reagent strips/tablets |
1,599 |
1,420 |
$42K |
| A4456 |
Adhesive remover, wipes |
3,361 |
3,007 |
$14K |
| E2103 |
Non-adju cgm receiver/mon |
462 |
313 |
$7K |
| E2102 |
Adju cgm receiver/monitor |
50 |
37 |
$5K |
| A9278 |
External receiver, cgm sys |
15 |
13 |
$4K |
| K0554 |
Ther cgm receiver/monitor |
535 |
396 |
$4K |
| A4232 |
Syringe w/needle insulin 3cc |
1,492 |
879 |
$1K |