| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
350 |
338 |
$29K |
| A4554 |
Disposable underpads, all sizes |
609 |
583 |
$28K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
234 |
230 |
$18K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
161 |
154 |
$13K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
185 |
178 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
38 |
37 |
$4K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
14 |
13 |
$509.71 |