| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
79,933 |
75,850 |
$8.22M |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
69,194 |
66,445 |
$3.44M |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
6,183 |
5,663 |
$2.83M |
| E1399 |
Durable medical equipment, miscellaneous |
2,645 |
2,254 |
$2.19M |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,616 |
2,353 |
$1.52M |
| A9274 |
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
4,371 |
2,962 |
$1.29M |
| A4259 |
Lancets, per box of 100 |
76,682 |
72,899 |
$1.25M |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
2,392 |
2,090 |
$806K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
5,312 |
4,930 |
$729K |
| E0784 |
External ambulatory infusion pump, insulin |
1,602 |
1,242 |
$544K |
| A4245 |
Alcohol wipes, per box |
75,849 |
72,920 |
$411K |
| A4452 |
Tape, waterproof, per 18 square inches |
14,766 |
13,735 |
$208K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
2,246 |
2,006 |
$194K |
| A9278 |
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
672 |
603 |
$130K |
| E0607 |
Home blood glucose monitor |
1,595 |
1,455 |
$86K |
| A5120 |
Skin barrier, wipes or swabs, each |
8,745 |
8,295 |
$79K |
| A4456 |
Adhesive remover, wipes, any type, each |
7,853 |
7,423 |
$74K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
222 |
203 |
$44K |
| A4258 |
Spring-powered device for lancet, each |
2,397 |
2,216 |
$28K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
277 |
257 |
$19K |
| A4256 |
Normal, low and high calibrator solution / chips |
1,139 |
1,038 |
$9K |
| A4235 |
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
187 |
181 |
$321.00 |