| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
169,501 |
163,690 |
$10.08M |
| A4259 |
Lancets per box |
164,383 |
160,935 |
$1.54M |
| E0607 |
Blood glucose monitor home |
17,465 |
15,661 |
$872K |
| A4256 |
Calibrator solution/chips |
61,579 |
60,168 |
$544K |
| A4258 |
Lancet device each |
32,619 |
31,639 |
$439K |
| A9276 |
Disposable sensor, cgm sys |
1,422 |
1,238 |
$175K |
| A4235 |
Lithium batt for glucose mon |
33,460 |
32,531 |
$56K |
| A4239 |
Non-adju cgm supply allow |
570 |
528 |
$40K |
| K0553 |
Ther cgm supply allowance |
247 |
226 |
$8K |
| A4357 |
Bedside drainage bag |
193 |
188 |
$3K |
| A9278 |
External receiver, cgm sys |
43 |
28 |
$2K |
| A4344 |
Cath indw foley 2 way silicn |
86 |
85 |
$2K |
| A4354 |
Cath insertion tray w/bag |
55 |
54 |
$859.04 |