| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,869 |
2,749 |
$92K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,012 |
2,956 |
$81K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
727 |
719 |
$8K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
63 |
63 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
319 |
312 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
36 |
36 |
$0.00 |