| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,069 |
1,068 |
$44K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
122 |
122 |
$10K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
233 |
233 |
$9K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
90 |
90 |
$7K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
39 |
39 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
368 |
354 |
$2K |