| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0784 |
External ambulatory infusion pump, insulin |
173 |
154 |
$478K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
14,318 |
9,888 |
$465K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,755 |
2,571 |
$265K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
16,122 |
11,260 |
$195K |
| A4238 |
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
865 |
685 |
$102K |
| A4231 |
Infusion set for external insulin pump, needle type |
2,267 |
1,463 |
$41K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
170 |
168 |
$27K |