| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
48,528 |
46,336 |
$17.10M |
| A9277 |
External transmitter, cgm |
7,244 |
7,109 |
$3.53M |
| A4230 |
Infus insulin pump non needl |
20,917 |
19,366 |
$3.15M |
| E0784 |
Ext amb infusn pump insulin |
383 |
367 |
$1.37M |
| A9278 |
External receiver, cgm sys |
1,926 |
1,895 |
$817K |
| K0552 |
Sup/ext non-ins inf pump syr |
17,733 |
16,729 |
$793K |
| A6257 |
Transparent film <= 16 sq in |
13,149 |
12,175 |
$261K |
| A4253 |
Blood glucose/reagent strips |
3,568 |
3,490 |
$176K |
| A4225 |
Sup/ext insulin inf pump syr |
2,258 |
2,022 |
$90K |
| A5120 |
Skin barrier, wipe or swab |
12,386 |
11,982 |
$46K |
| A4259 |
Lancets per box |
3,109 |
3,037 |
$28K |
| K0553 |
Ther cgm supply allowance |
757 |
682 |
$25K |
| A4239 |
Non-adju cgm supply allow |
573 |
529 |
$24K |
| A4256 |
Calibrator solution/chips |
1,160 |
1,157 |
$5K |
| A4258 |
Lancet device each |
312 |
312 |
$3K |