| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,740 |
7,680 |
$299K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,938 |
1,927 |
$129K |
| A4927 |
Gloves, non-sterile, per 100 |
6,882 |
6,831 |
$86K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
982 |
979 |
$82K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,938 |
1,925 |
$75K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,133 |
1,129 |
$66K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,894 |
1,883 |
$44K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
549 |
501 |
$928.45 |
| A4259 |
Lancets, per box of 100 |
177 |
158 |
$45.24 |