| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
3,561 |
3,369 |
$84K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
483 |
431 |
$64K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
324 |
319 |
$34K |
| A4215 |
Needle, sterile, any size, each |
1,686 |
1,575 |
$27K |
| 0001A |
|
727 |
722 |
$25K |
| 0002A |
|
667 |
660 |
$24K |
| 91320 |
|
103 |
103 |
$12K |
| 0004A |
|
287 |
286 |
$11K |
| S8490 |
Insulin syringes (100 syringes, any size) |
346 |
302 |
$7K |
| 90686 |
|
307 |
307 |
$5K |
| 90480 |
|
136 |
136 |
$4K |
| A4259 |
Lancets, per box of 100 |
1,247 |
1,232 |
$4K |
| 0124A |
|
88 |
88 |
$3K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
47 |
42 |
$3K |
| 0071A |
|
47 |
47 |
$2K |
| 91322 |
|
12 |
12 |
$2K |
| 0064A |
|
47 |
46 |
$2K |
| 0003A |
|
43 |
42 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
290 |
$1K |
| 0072A |
|
13 |
13 |
$520.00 |
| 0031A |
|
12 |
12 |
$400.00 |
| E0607 |
Home blood glucose monitor |
13 |
13 |
$390.87 |
| 90656 |
|
13 |
13 |
$135.90 |
| 91300 |
|
1,173 |
1,048 |
$0.00 |
| 91312 |
|
82 |
82 |
$0.00 |
| 91301 |
|
50 |
50 |
$0.00 |
| 91307 |
|
90 |
83 |
$0.00 |
| 91303 |
|
27 |
27 |
$0.00 |