| 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 |
20,788 |
17,441 |
$557K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
10,654 |
8,956 |
$173K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
11,554 |
9,405 |
$51K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
953 |
803 |
$25K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
805 |
691 |
$14K |
| E0607 |
Home blood glucose monitor |
612 |
493 |
$4K |
| A4259 |
Lancets, per box of 100 |
11,143 |
9,265 |
$3K |
| A4256 |
Normal, low and high calibrator solution / chips |
10,996 |
9,197 |
$3K |
| A4258 |
Spring-powered device for lancet, each |
6,133 |
5,007 |
$2K |
| A4233 |
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
5,946 |
5,009 |
$829.29 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
192 |
81 |
$479.27 |