| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Ther cgm supply allowance |
37,145 |
31,079 |
$1.13M |
| A4239 |
Non-adju cgm supply allow |
24,546 |
19,670 |
$1.06M |
| A4253 |
Blood glucose/reagent strips |
61,623 |
51,204 |
$406K |
| A7030 |
Cpap full face mask |
7,371 |
6,188 |
$135K |
| A7031 |
Replacement facemask interfa |
7,693 |
6,399 |
$133K |
| E0607 |
Blood glucose monitor home |
7,347 |
5,883 |
$81K |
| A7032 |
Replacement nasal cushion |
3,726 |
3,025 |
$80K |
| A7034 |
Nasal application device |
5,699 |
4,711 |
$75K |
| K0554 |
Ther cgm receiver/monitor |
2,325 |
1,922 |
$61K |
| A7037 |
Pos airway pressure tubing |
12,196 |
10,217 |
$57K |
| A7035 |
Pos airway press headgear |
8,491 |
7,069 |
$56K |
| E2103 |
Non-adju cgm receiver/mon |
1,172 |
913 |
$49K |
| A4256 |
Calibrator solution/chips |
55,856 |
46,077 |
$49K |
| A4259 |
Lancets per box |
58,372 |
48,466 |
$49K |
| A7033 |
Replacement nasal pillows |
2,169 |
1,797 |
$41K |
| A7038 |
Pos airway pressure filter |
14,069 |
11,729 |
$41K |
| A4258 |
Lancet device each |
26,540 |
21,484 |
$20K |
| E0745 |
Neuromuscular stim for shock |
1,255 |
1,045 |
$16K |
| A7039 |
Filter, non disposable w pap |
2,758 |
2,269 |
$6K |
| A4604 |
Tubing with heating element |
677 |
541 |
$5K |
| A7036 |
Pos airway press chinstrap |
1,607 |
1,324 |
$3K |
| E0601 |
Cont airway pressure device |
257 |
237 |
$2K |
| E0849 |
Cervical pneum trac equip |
226 |
191 |
$1K |
| A4233 |
Alkalin batt for glucose mon |
1,836 |
1,496 |
$774.01 |
| E0210 |
Electric heat pad standard |
91 |
67 |
$334.45 |
| A7046 |
Repl water chamber, pap dev |
36 |
27 |
$58.21 |