| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
101,786 |
92,296 |
$32.44M |
| E0784 |
Ext amb infusn pump insulin |
29,227 |
22,621 |
$18.77M |
| A4230 |
Infus insulin pump non needl |
95,906 |
91,364 |
$13.37M |
| A9277 |
External transmitter, cgm |
15,042 |
12,649 |
$7.32M |
| A4232 |
Syringe w/needle insulin 3cc |
110,671 |
105,942 |
$3.65M |
| A4231 |
Infusion insulin pump needle |
15,230 |
14,773 |
$1.87M |
| A9278 |
External receiver, cgm sys |
2,897 |
2,189 |
$1.06M |
| A4239 |
Non-adju cgm supply allow |
13,553 |
8,362 |
$957K |
| K0553 |
Ther cgm supply allowance |
21,451 |
13,722 |
$818K |
| A6257 |
Transparent film <= 16 sq in |
32,445 |
30,589 |
$679K |
| A9274 |
Ext amb insulin delivery sys |
924 |
653 |
$330K |
| A4224 |
Supply insulin inf cath/wk |
16,397 |
9,927 |
$216K |
| A5120 |
Skin barrier, wipe or swab |
54,263 |
51,741 |
$179K |
| A4225 |
Sup/ext insulin inf pump syr |
16,278 |
9,876 |
$84K |
| A4238 |
Adju cgm supply allowance |
2,135 |
989 |
$66K |
| K0554 |
Ther cgm receiver/monitor |
2,277 |
1,493 |
$38K |
| E2103 |
Non-adju cgm receiver/mon |
1,010 |
519 |
$22K |
| A4253 |
Blood glucose/reagent strips |
198 |
95 |
$9K |
| A4456 |
Adhesive remover, wipes |
1,886 |
1,759 |
$7K |
| E2102 |
Adju cgm receiver/monitor |
1,529 |
887 |
$2K |
| A9999 |
Dme supply or accessory, nos |
26 |
13 |
$184.85 |