| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
797 |
757 |
$11K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
120 |
120 |
$9K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
35 |
35 |
$0.00 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
35 |
35 |
$0.00 |