| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,764 |
9,513 |
$2.07M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
12,510 |
11,351 |
$966K |
| A4554 |
Disposable underpads, all sizes |
10,990 |
10,704 |
$662K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,721 |
8,417 |
$354K |
| A4927 |
Gloves, non-sterile, per 100 |
12,690 |
11,507 |
$348K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
7,625 |
7,430 |
$289K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
505 |
502 |
$193K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,832 |
1,787 |
$72K |
| A4252 |
Blood ketone test or reagent strip, each |
140 |
133 |
$59K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
261 |
258 |
$38K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
265 |
163 |
$32K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
3,541 |
1,832 |
$31K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
328 |
300 |
$30K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
382 |
181 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
777 |
743 |
$6K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
28 |
24 |
$5K |
| A4245 |
Alcohol wipes, per box |
896 |
825 |
$4K |
| A4259 |
Lancets, per box of 100 |
778 |
754 |
$794.50 |