| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,321 |
10,901 |
$1.92M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,595 |
7,316 |
$1.28M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,292 |
15,672 |
$1.12M |
| A4554 |
Disposable underpads, all sizes |
21,308 |
20,499 |
$955K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,847 |
1,764 |
$710K |
| A5120 |
Skin barrier, wipes or swabs, each |
14,413 |
13,658 |
$644K |
| A4927 |
Gloves, non-sterile, per 100 |
21,400 |
20,586 |
$633K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,340 |
2,249 |
$397K |
| A4553 |
Non-disposable underpads, all sizes |
19,059 |
18,385 |
$287K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,097 |
1,973 |
$36K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
56 |
56 |
$14K |
| A4245 |
Alcohol wipes, per box |
97 |
97 |
$1K |
| A4259 |
Lancets, per box of 100 |
127 |
127 |
$299.40 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
127 |
127 |
$15.70 |