| E0784 | External ambulatory infusion pump, insulin | 2 | 10 | 1,480 | $2,330 | $3.8M |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 3 | 10 | 1,330 | $350 | $3.2M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 2 | 10 | 4,040 | $220 | $2.1M |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 2 | 10 | 1,400 | $470 | $1.4M |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 5 | 40 | 270 | $120 | $600.5K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 1 | 10 | 3,690 | $70 | $455.9K |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1 | 10 | 1,570 | $200 | $415.6K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 9 | 50 | 310 | $120 | $346.5K |
| A9278 | Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 2 | 10 | 750 | $320 | $294.5K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 7 | 10 | 90 | $80 | $95K |