| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
11,800 |
11,797 |
$493K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,033 |
11,025 |
$479K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
9,592 |
9,592 |
$130K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,751 |
2,751 |
$117K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
11,358 |
11,358 |
$115K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,385 |
2,384 |
$85K |
| A4335 |
Incontinence supply; miscellaneous |
11,092 |
11,092 |
$79K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
722 |
722 |
$32K |
| A4927 |
Gloves, non-sterile, per 100 |
2,655 |
2,655 |
$15K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
846 |
805 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
36 |
36 |
$1K |
| A4259 |
Lancets, per box of 100 |
848 |
806 |
$369.03 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
14 |
14 |
$302.14 |