| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
20,788 |
17,441 |
$557K |
| K0553 |
Ther cgm supply allowance |
10,654 |
8,956 |
$173K |
| A4253 |
Blood glucose/reagent strips |
11,554 |
9,405 |
$51K |
| E2103 |
Non-adju cgm receiver/mon |
953 |
803 |
$25K |
| K0554 |
Ther cgm receiver/monitor |
805 |
691 |
$14K |
| E0607 |
Blood glucose monitor home |
612 |
493 |
$4K |
| A4259 |
Lancets per box |
11,143 |
9,265 |
$3K |
| A4256 |
Calibrator solution/chips |
10,996 |
9,197 |
$3K |
| A4258 |
Lancet device each |
6,133 |
5,007 |
$2K |
| A4233 |
Alkalin batt for glucose mon |
5,946 |
5,009 |
$829.29 |
| A9999 |
Dme supply or accessory, nos |
192 |
81 |
$479.27 |