| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
22,936 |
22,613 |
$990K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,564 |
4,511 |
$682K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,815 |
3,730 |
$508K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,294 |
2,273 |
$394K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,054 |
8,969 |
$366K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,676 |
2,642 |
$308K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,445 |
1,417 |
$143K |
| A4335 |
Incontinence supply; miscellaneous |
24,224 |
23,824 |
$122K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
868 |
853 |
$100K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,006 |
977 |
$93K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
323 |
320 |
$77K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,076 |
4,963 |
$40K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
77 |
76 |
$10K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
14 |
12 |
$532.21 |
| A4259 |
Lancets, per box of 100 |
13 |
12 |
$94.68 |