| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
37,145 |
31,079 |
$1.13M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
24,546 |
19,670 |
$1.06M |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
61,623 |
51,204 |
$406K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,371 |
6,188 |
$135K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,693 |
6,399 |
$133K |
| E0607 |
Home blood glucose monitor |
7,347 |
5,883 |
$81K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,726 |
3,025 |
$80K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,699 |
4,711 |
$75K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
2,325 |
1,922 |
$61K |
| A7037 |
Tubing used with positive airway pressure device |
12,196 |
10,217 |
$57K |
| A7035 |
Headgear used with positive airway pressure device |
8,491 |
7,069 |
$56K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
1,172 |
913 |
$49K |
| A4256 |
Normal, low and high calibrator solution / chips |
55,856 |
46,077 |
$49K |
| A4259 |
Lancets, per box of 100 |
58,372 |
48,466 |
$49K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,169 |
1,797 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14,069 |
11,729 |
$41K |
| A4258 |
Spring-powered device for lancet, each |
26,540 |
21,484 |
$20K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
1,255 |
1,045 |
$16K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,758 |
2,269 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
677 |
541 |
$5K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,607 |
1,324 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
257 |
237 |
$2K |
| E0849 |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
226 |
191 |
$1K |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
1,836 |
1,496 |
$774.01 |
| E0210 |
Electric heat pad, standard |
91 |
67 |
$334.45 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
36 |
27 |
$58.21 |