| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
30,095 |
29,687 |
$1.12M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,007 |
7,940 |
$1.00M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,401 |
16,257 |
$702K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
6,013 |
5,945 |
$609K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,991 |
3,936 |
$576K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,874 |
1,823 |
$240K |
| A4335 |
Incontinence supply; miscellaneous |
32,871 |
32,224 |
$175K |
| E1399 |
Durable medical equipment, miscellaneous |
13 |
12 |
$16K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
682 |
524 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
1,325 |
1,291 |
$11K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24 |
24 |
$4K |
| A4259 |
Lancets, per box of 100 |
492 |
479 |
$3K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
226 |
225 |
$1K |
| A4245 |
Alcohol wipes, per box |
662 |
655 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
27 |
26 |
$272.86 |