| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,313 |
2,306 |
$657K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,809 |
3,787 |
$625K |
| A4554 |
Disposable underpads, all sizes |
14,303 |
14,066 |
$497K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,065 |
2,049 |
$428K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,451 |
1,435 |
$191K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,269 |
1,242 |
$176K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,465 |
1,426 |
$169K |
| A4335 |
Incontinence supply; miscellaneous |
14,698 |
14,550 |
$74K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,311 |
6,282 |
$73K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
130 |
130 |
$15K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
19 |
13 |
$219.54 |
| A4259 |
Lancets, per box of 100 |
16 |
13 |
$50.00 |
| A4245 |
Alcohol wipes, per box |
12 |
12 |
$21.16 |