| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,607 |
3,499 |
$1.54M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,679 |
3,563 |
$568K |
| A6404 |
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
3,630 |
3,519 |
$431K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
3,606 |
3,498 |
$273K |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
3,625 |
3,515 |
$207K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,384 |
1,338 |
$183K |
| T4541 |
Incontinence product, disposable underpad, large, each |
3,692 |
3,577 |
$165K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
3,600 |
3,493 |
$98K |
| A4927 |
Gloves, non-sterile, per 100 |
3,659 |
3,544 |
$94K |
| A4245 |
Alcohol wipes, per box |
3,606 |
3,499 |
$33K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
77 |
73 |
$5K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
46 |
46 |
$2K |
| A4670 |
Automatic blood pressure monitor |
43 |
43 |
$2K |
| A4931 |
Oral thermometer, reusable, any type, each |
47 |
47 |
$199.36 |