| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,110 |
2,100 |
$243K |
| A4554 |
Disposable underpads, all sizes |
6,088 |
6,053 |
$215K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,625 |
1,620 |
$147K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
977 |
974 |
$121K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,698 |
3,674 |
$104K |
| A4335 |
Incontinence supply; miscellaneous |
7,551 |
7,486 |
$44K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
181 |
179 |
$25K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
522 |
511 |
$4K |
| A4245 |
Alcohol wipes, per box |
350 |
348 |
$749.58 |
| A4259 |
Lancets, per box of 100 |
462 |
452 |
$397.02 |