| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic blood pressure monitor |
1,316 |
1,315 |
$89K |
| T4541 |
Incontinence product, disposable underpad, large, each |
167 |
160 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
82 |
75 |
$4K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
178 |
171 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
492 |
492 |
$3K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
63 |
61 |
$1K |
| A4259 |
Lancets, per box of 100 |
50 |
50 |
$39.94 |