| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,392 |
11,253 |
$748K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
12,774 |
12,618 |
$366K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
6,673 |
6,584 |
$282K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
6,133 |
6,030 |
$244K |
| T4541 |
Incontinence product, disposable underpad, large, each |
15,353 |
15,145 |
$230K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
11,619 |
11,474 |
$158K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,643 |
1,615 |
$131K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,924 |
1,888 |
$120K |
| A4927 |
Gloves, non-sterile, per 100 |
6,593 |
6,472 |
$38K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
648 |
641 |
$33K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
771 |
756 |
$30K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
337 |
336 |
$25K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
228 |
225 |
$12K |
| A4335 |
Incontinence supply; miscellaneous |
4,678 |
4,544 |
$11K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
217 |
203 |
$636.41 |
| A4259 |
Lancets, per box of 100 |
197 |
184 |
$48.39 |
| A4245 |
Alcohol wipes, per box |
12 |
12 |
$1.31 |