| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
79,933 |
75,850 |
$8.22M |
| A4250 |
Urine reagent strips/tablets |
69,194 |
66,445 |
$3.44M |
| A9276 |
Disposable sensor, cgm sys |
6,183 |
5,663 |
$2.83M |
| E1399 |
Durable medical equipment mi |
2,645 |
2,254 |
$2.19M |
| A4239 |
Non-adju cgm supply allow |
2,616 |
2,353 |
$1.52M |
| A9274 |
Ext amb insulin delivery sys |
4,371 |
2,962 |
$1.29M |
| A4259 |
Lancets per box |
76,682 |
72,899 |
$1.25M |
| A4230 |
Infus insulin pump non needl |
2,392 |
2,090 |
$806K |
| A9277 |
External transmitter, cgm |
5,312 |
4,930 |
$729K |
| E0784 |
Ext amb infusn pump insulin |
1,602 |
1,242 |
$544K |
| A4245 |
Alcohol wipes per box |
75,849 |
72,920 |
$411K |
| A4452 |
Waterproof tape |
14,766 |
13,735 |
$208K |
| A4232 |
Syringe w/needle insulin 3cc |
2,246 |
2,006 |
$194K |
| A9278 |
External receiver, cgm sys |
672 |
603 |
$130K |
| E0607 |
Blood glucose monitor home |
1,595 |
1,455 |
$86K |
| A5120 |
Skin barrier, wipe or swab |
8,745 |
8,295 |
$79K |
| A4456 |
Adhesive remover, wipes |
7,853 |
7,423 |
$74K |
| E2103 |
Non-adju cgm receiver/mon |
222 |
203 |
$44K |
| A4258 |
Lancet device each |
2,397 |
2,216 |
$28K |
| A6257 |
Transparent film <= 16 sq in |
277 |
257 |
$19K |
| A4256 |
Calibrator solution/chips |
1,139 |
1,038 |
$9K |
| A4235 |
Lithium batt for glucose mon |
187 |
181 |
$321.00 |