| 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 |
17,983 |
11,684 |
$7.04M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
33,067 |
27,810 |
$2.20M |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
4,091 |
3,269 |
$1.29M |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
3,438 |
2,239 |
$740K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
7,876 |
7,378 |
$501K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
2,966 |
2,386 |
$180K |
| A7030 |
Full face mask used with positive airway pressure device, each |
10,292 |
7,897 |
$130K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
2,451 |
1,871 |
$122K |
| A7031 |
Face mask interface, replacement for full face mask, each |
10,363 |
7,894 |
$93K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,462 |
4,142 |
$71K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
8,557 |
6,588 |
$66K |
| Q0514 |
Pharmacy dispensing fee for inhalation drug(s); per 90 days |
12,216 |
8,629 |
$59K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
892 |
844 |
$51K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13,655 |
10,322 |
$35K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
4,275 |
3,475 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
13,087 |
10,090 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
9,282 |
7,192 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,981 |
2,297 |
$27K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,296 |
4,023 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,210 |
2,388 |
$20K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
11,949 |
8,306 |
$18K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
5,475 |
3,730 |
$16K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
133 |
103 |
$16K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
5,700 |
4,000 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,186 |
3,988 |
$13K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
10,964 |
7,582 |
$12K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
11,941 |
8,356 |
$11K |
| E0570 |
Nebulizer, with compressor |
9,415 |
7,231 |
$11K |
| A7015 |
Aerosol mask, used with dme nebulizer |
11,407 |
7,958 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,484 |
2,621 |
$6K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
179 |
146 |
$4K |
| A4259 |
Lancets, per box of 100 |
4,042 |
3,341 |
$4K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
18 |
14 |
$4K |
| A4256 |
Normal, low and high calibrator solution / chips |
4,109 |
3,490 |
$3K |
| A4332 |
Lubricant, individual sterile packet, each |
788 |
641 |
$3K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
66 |
50 |
$2K |
| A4258 |
Spring-powered device for lancet, each |
1,995 |
1,716 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
236 |
159 |
$656.27 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
129 |
102 |
$562.10 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
158 |
126 |
$528.61 |
| E0607 |
Home blood glucose monitor |
20 |
18 |
$325.88 |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
1,226 |
1,035 |
$187.37 |
| A4235 |
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
124 |
118 |
$26.07 |