| 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 |
564 |
478 |
$115K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
528 |
416 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
122 |
100 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
393 |
312 |
$5K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
12 |
12 |
$3K |