| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
85 |
81 |
$21K |
| A4554 |
Disposable underpads, all sizes |
196 |
178 |
$15K |
| A4670 |
Automatic blood pressure monitor |
305 |
304 |
$15K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
85 |
80 |
$10K |
| A4456 |
Adhesive remover, wipes, any type, each |
185 |
170 |
$2K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
22 |
19 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
164 |
151 |
$694.60 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
65 |
61 |
$241.98 |
| A7035 |
Headgear used with positive airway pressure device |
19 |
16 |
$194.27 |
| E0601 |
Continuous positive airway pressure (cpap) device |
17 |
14 |
$126.64 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
18 |
15 |
$19.56 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
12 |
$14.24 |