| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,841 |
1,831 |
$108K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
891 |
887 |
$65K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,834 |
1,824 |
$54K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,436 |
1,431 |
$18K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,761 |
1,756 |
$16K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
244 |
244 |
$8K |
| A4335 |
Incontinence supply; miscellaneous |
1,756 |
1,751 |
$6K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
21 |
14 |
$62.11 |