| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,599 |
3,274 |
$345K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,346 |
3,064 |
$271K |
| A4554 |
Disposable underpads, all sizes |
4,436 |
4,053 |
$212K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,762 |
1,601 |
$155K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,644 |
1,468 |
$143K |
| A4927 |
Gloves, non-sterile, per 100 |
8,476 |
7,755 |
$98K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
589 |
523 |
$40K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
147 |
135 |
$13K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
144 |
135 |
$11K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,084 |
967 |
$10K |
| A4259 |
Lancets, per box of 100 |
543 |
493 |
$8K |
| E0570 |
Nebulizer, with compressor |
14 |
14 |
$2K |