| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
77,080 |
75,783 |
$26.63M |
| A9277 |
External transmitter, cgm |
11,063 |
10,902 |
$5.85M |
| E0784 |
Ext amb infusn pump insulin |
1,468 |
1,449 |
$5.29M |
| A4230 |
Infus insulin pump non needl |
32,360 |
31,747 |
$3.94M |
| A9274 |
Ext amb insulin delivery sys |
7,609 |
7,459 |
$2.91M |
| K0553 |
Ther cgm supply allowance |
17,322 |
16,908 |
$1.30M |
| A4232 |
Syringe w/needle insulin 3cc |
37,050 |
36,430 |
$1.27M |
| A4239 |
Non-adju cgm supply allow |
15,171 |
14,992 |
$618K |
| A4231 |
Infusion insulin pump needle |
4,756 |
4,690 |
$577K |
| A9278 |
External receiver, cgm sys |
1,324 |
1,303 |
$566K |
| A4224 |
Supply insulin inf cath/wk |
6,375 |
6,287 |
$509K |
| A4225 |
Sup/ext insulin inf pump syr |
6,670 |
6,499 |
$157K |
| A6257 |
Transparent film <= 16 sq in |
287 |
281 |
$19K |
| K0554 |
Ther cgm receiver/monitor |
247 |
242 |
$13K |
| A4253 |
Blood glucose/reagent strips |
71 |
69 |
$5K |
| A5120 |
Skin barrier, wipe or swab |
276 |
273 |
$3K |
| K0603 |
Repl batt alkaline 1.5 v |
129 |
125 |
$258.83 |
| A4456 |
Adhesive remover, wipes |
13 |
12 |
$100.05 |
| A4245 |
Alcohol wipes per box |
40 |
40 |
$67.14 |
| A4238 |
Adju cgm supply allowance |
13 |
13 |
$0.00 |
| E2103 |
Non-adju cgm receiver/mon |
59 |
59 |
$0.00 |