248 B
248 B
| 1 | account_no | hcpcs_description | service_date | units | primary_payer | supply_type | HCPCS Code |
|---|---|---|---|---|---|---|---|
| 2 | PT-1091 | Dexcom G6 | 12-20-2024 | 3 | Medicare | sensor | A9277 |
| 3 | PT-1092 | dexcom g6 | 10-09-2024 | 9 | Medicare | sensor | A9277 |
| 4 | PT-1093 | Dexcom G6 | 12-09-2024 | 9 | Medicare | sensor | A9277 |