| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,298 |
5,296 |
$192K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,298 |
2,295 |
$124K |
| A4554 |
Disposable underpads, all sizes |
2,238 |
2,233 |
$80K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
778 |
777 |
$48K |
| A4927 |
Gloves, non-sterile, per 100 |
3,021 |
3,014 |
$16K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
697 |
697 |
$15K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
523 |
523 |
$13K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
49 |
49 |
$2K |
| A4335 |
Incontinence supply; miscellaneous |
377 |
376 |
$2K |
| E1399 |
Durable medical equipment, miscellaneous |
92 |
92 |
$589.99 |
| A4259 |
Lancets, per box of 100 |
26 |
26 |
$53.45 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$12.48 |