| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
2,718 |
2,588 |
$963K |
| E0784 |
External ambulatory infusion pump, insulin |
1,343 |
1,118 |
$459K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,819 |
2,153 |
$137K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,783 |
1,629 |
$115K |
| E1399 |
Durable medical equipment, miscellaneous |
324 |
161 |
$31K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
755 |
639 |
$19K |
| A4225 |
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
733 |
629 |
$8K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
12 |
12 |
$2K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
25 |
25 |
$981.55 |