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,NJ FamilyCare,sensor,A9277
SC-C-003,Dexcom G6,05-08-2026,1,UnitedHealthcare NJ,sensor,A9277
SC-D-004,Dexcom G7,06-02-2026,1,Aetna NJ Medicare,sensor,A9277
SC-E-005,FreeStyle Libre 2,06-04-2026,1,Medicare FFS NJ,sensor,A9277
SC-F-006,Dexcom G7,05-31-2026,1,Aetna NJ,sensor,A9277
NJ-09-0001,Dexcom G7,06-01-2026,1,Medicare,sensor,A9277
NJ-09-0002,Dexcom G7,06-06-2026,1,UnitedHealthcare NJ Medicare,sensor,A9277
NJ-09-0003,FreeStyle Libre 3,06-05-2026,2,AmeriHealth NJ,sensor,A9277
NJ-09-0004,Dexcom G7,06-05-2026,1,Oxford Health,sensor,A9277
NJ-09-0005,Dexcom G6,09-12-2025,1,UnitedHealthcare NJ,sensor,A9277
NJ-09-0006,Dexcom G6,08-12-2025,3,Oxford Health,sensor,A9277
NJ-09-0007,FreeStyle Libre 2,07-27-2025,3,AmeriHealth NJ,sensor,A9277
NJ-09-0008,FreeStyle Libre 3,05-09-2025,3,Medicare FFS NJ,sensor,A9277
NJ-09-0009,Dexcom G7,10-23-2024,2,Horizon BCBS NJ,sensor,A9277
NJ-09-0010,Dexcom G6,06-03-2026,2,WellCare NJ,sensor,A9277
NJ-09-0011,Dexcom G6,05-30-2026,3,Aetna NJ Medicare,sensor,A9277
NJ-09-0012,FreeStyle Libre 3,06-05-2026,2,AmeriHealth NJ,sensor,A9277
NJ-09-0013,FreeStyle Libre 3,05-31-2026,1,Medicare,sensor,A9277
NJ-09-0014,Dexcom G6,09-11-2025,3,Medicare Part B,sensor,A9277
NJ-09-0015,Dexcom G6,08-18-2025,1,Medicare,sensor,A9277
NJ-09-0016,FreeStyle Libre 3,07-31-2025,1,Medicare FFS NJ,sensor,A9277
NJ-09-0017,FreeStyle Libre 3,05-19-2025,1,Medicare FFS NJ,sensor,A9277
NJ-09-0018,Dexcom G6,12-17-2024,1,AmeriHealth NJ,sensor,A9277
NJ-09-0019,FreeStyle Libre 2,06-01-2026,2,NJ FamilyCare,sensor,A9277
NJ-09-0020,Dexcom G6,05-30-2026,2,Horizon BCBS NJ Medicare,sensor,A9277
NJ-09-0021,FreeStyle Libre 3,05-29-2026,2,Medicare,sensor,A9277
NJ-09-0022,Dexcom G7,06-06-2026,3,UnitedHealthcare NJ Medicare,sensor,A9277
NJ-09-0023,FreeStyle Libre 3,09-13-2025,1,Medicare Part B,sensor,A9277
NJ-09-0024,FreeStyle Libre 2,08-16-2025,1,Medicare FFS NJ,sensor,A9277
NJ-09-0025,FreeStyle Libre 3,07-30-2025,2,Horizon BCBS NJ Medicare,sensor,A9277
,Dexcom G7,05-28-2026,1,Medicare Part B,sensor,A9277
FUTURE-009,Dexcom G7,07-07-2026,1,Medicare,sensor,A9277
ZERQTY-009,FreeStyle Libre 3,06-02-2026,0,UnitedHealthcare NJ,sensor,A9277
DUP-PT-009,Dexcom G7,06-02-2026,1,Medicare FFS NJ,sensor,A9277
DUP-PT-009,FreeStyle Libre 3,06-04-2026,1,UnitedHealthcare NJ,sensor,A9277
