| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,186 |
10,117 |
$663K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,198 |
4,156 |
$413K |
| A4554 |
Disposable underpads, all sizes |
5,181 |
5,126 |
$305K |
| A4927 |
Gloves, non-sterile, per 100 |
11,574 |
11,477 |
$226K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
3,023 |
3,000 |
$209K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,159 |
1,150 |
$144K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
6,456 |
6,413 |
$66K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,775 |
2,647 |
$34K |
| A4215 |
Needle, sterile, any size, each |
316 |
290 |
$10K |
| A4259 |
Lancets, per box of 100 |
1,284 |
1,242 |
$7K |
| A4245 |
Alcohol wipes, per box |
833 |
797 |
$4K |
| A4670 |
Automatic blood pressure monitor |
17 |
15 |
$1K |