| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
3,188 |
3,164 |
$180K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,792 |
2,760 |
$79K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,012 |
1,000 |
$73K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
258 |
247 |
$17K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,282 |
1,263 |
$12K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,411 |
1,401 |
$12K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
130 |
127 |
$7K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
63 |
63 |
$2K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
24 |
24 |
$2K |
| A4335 |
Incontinence supply; miscellaneous |
505 |
505 |
$2K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12 |
12 |
$628.88 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
119 |
99 |
$398.50 |
| A4259 |
Lancets, per box of 100 |
38 |
38 |
$16.06 |