| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
10,929 |
10,575 |
$1.47M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14,487 |
14,070 |
$767K |
| A5120 |
Skin barrier, wipes or swabs, each |
16,028 |
15,563 |
$637K |
| A4927 |
Gloves, non-sterile, per 100 |
15,168 |
14,723 |
$317K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,814 |
4,704 |
$177K |
| A4553 |
Non-disposable underpads, all sizes |
1,748 |
1,705 |
$24K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
99 |
95 |
$10K |
| A4259 |
Lancets, per box of 100 |
1,208 |
1,109 |
$4K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,209 |
1,105 |
$520.08 |