account_no,hcpcs_description,service_date,units,primary_payer,supply_type,HCPCS Code
SC-A-001,Dexcom G7,09-10-2025,1,Medicare,sensor,A9277
SC-B-002,FreeStyle Libre 3,06-02-2026,1,AmeriHealth Caritas PA,sensor,A9277
SC-C-003,Dexcom G6,05-08-2026,1,Geisinger,sensor,A9277
SC-D-004,Dexcom G7,06-02-2026,1,Aetna PA Medicare,sensor,A9277
SC-E-005,FreeStyle Libre 2,06-04-2026,1,Medicare Part B,sensor,A9277
SC-F-006,Dexcom G7,05-31-2026,1,Geisinger,sensor,A9277
PA-09-0001,Dexcom G6,05-29-2026,2,AmeriHealth Caritas PA,sensor,A9277
PA-09-0002,FreeStyle Libre 3,06-03-2026,2,CMS,sensor,A9277
PA-09-0003,FreeStyle Libre 2,06-02-2026,3,Independence Blue Cross,sensor,A9277
PA-09-0004,Dexcom G6,06-06-2026,1,UPMC Health Plan,sensor,A9277
PA-09-0005,FreeStyle Libre 3,09-18-2025,3,CMS,sensor,A9277
PA-09-0006,FreeStyle Libre 3,08-21-2025,3,UPMC for You,sensor,A9277
PA-09-0007,Dexcom G7,07-29-2025,2,PA Medicaid,sensor,A9277
PA-09-0008,FreeStyle Libre 3,05-19-2025,2,Keystone First,sensor,A9277
PA-09-0009,FreeStyle Libre 3,10-20-2024,1,Medicare,sensor,A9277
PA-09-0010,Dexcom G6,05-30-2026,3,CMS,sensor,A9277
PA-09-0011,Dexcom G6,05-30-2026,2,Keystone First,sensor,A9277
PA-09-0012,FreeStyle Libre 2,05-31-2026,1,CMS,sensor,A9277
PA-09-0013,Dexcom G6,05-31-2026,2,Highmark BlueCross BlueShield,sensor,A9277
PA-09-0014,FreeStyle Libre 3,09-19-2025,2,Cigna PA,sensor,A9277
PA-09-0015,FreeStyle Libre 2,08-21-2025,1,Highmark BCBS PA,sensor,A9277
PA-09-0016,Dexcom G7,07-27-2025,1,Medicare,sensor,A9277
PA-09-0017,Dexcom G6,05-16-2025,1,Cigna PA,sensor,A9277
PA-09-0018,FreeStyle Libre 3,11-24-2024,2,Medicare Part B,sensor,A9277
PA-09-0019,Dexcom G6,06-05-2026,3,Medicare,sensor,A9277
PA-09-0020,FreeStyle Libre 2,05-29-2026,3,Keystone First,sensor,A9277
PA-09-0021,Dexcom G6,05-30-2026,2,Aetna PA,sensor,A9277
PA-09-0022,Dexcom G7,06-02-2026,3,Aetna PA Medicare,sensor,A9277
PA-09-0023,Dexcom G6,09-17-2025,1,UPMC Health Plan,sensor,A9277
PA-09-0024,Dexcom G6,08-20-2025,2,Aetna PA,sensor,A9277
PA-09-0025,Dexcom G7,07-31-2025,1,Aetna PA,sensor,A9277
PA-09-0026,FreeStyle Libre 3,05-11-2025,3,Aetna PA Medicare,sensor,A9277
PA-09-0027,Dexcom G6,11-02-2024,1,Medicare Part B,sensor,A9277
PA-09-0028,FreeStyle Libre 3,06-04-2026,1,UPMC for You,sensor,A9277
PA-09-0029,FreeStyle Libre 3,06-02-2026,3,UPMC for You,sensor,A9277
PA-09-0030,FreeStyle Libre 3,06-03-2026,1,CMS,sensor,A9277
,Dexcom G7,05-28-2026,1,Medicare,sensor,A9277
FUTURE-009,Dexcom G7,07-07-2026,1,Medicare,sensor,A9277
ZERQTY-009,FreeStyle Libre 3,06-02-2026,0,Independence Blue Cross,sensor,A9277
DUP-PT-009,Dexcom G7,06-02-2026,1,Medicare Part B,sensor,A9277
DUP-PT-009,FreeStyle Libre 3,06-04-2026,1,Independence Blue Cross,sensor,A9277
