| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,637 |
1,496 |
$193K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,339 |
2,130 |
$116K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
749 |
695 |
$80K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,562 |
1,458 |
$72K |
| A4927 |
Gloves, non-sterile, per 100 |
4,579 |
4,213 |
$67K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,215 |
1,123 |
$64K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
489 |
460 |
$46K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
2,046 |
1,890 |
$24K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
134 |
127 |
$16K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
170 |
166 |
$786.94 |
| A4259 |
Lancets, per box of 100 |
136 |
132 |
$64.12 |