| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
3,223 |
2,757 |
$290K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,282 |
2,095 |
$229K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,115 |
1,921 |
$207K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,203 |
1,090 |
$127K |
| A4554 |
Disposable underpads, all sizes |
3,298 |
3,034 |
$94K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,172 |
1,089 |
$90K |
| A4259 |
Lancets, per box of 100 |
3,143 |
2,708 |
$60K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
256 |
212 |
$34K |
| A4927 |
Gloves, non-sterile, per 100 |
495 |
433 |
$9K |
| E0607 |
Home blood glucose monitor |
64 |
50 |
$6K |
| A4256 |
Normal, low and high calibrator solution / chips |
647 |
571 |
$3K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
27 |
26 |
$817.00 |
| A4332 |
Lubricant, individual sterile packet, each |
15 |
13 |
$424.62 |