| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,885 |
3,855 |
$526K |
| A4554 |
Disposable underpads, all sizes |
13,219 |
13,017 |
$467K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,194 |
2,172 |
$416K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,851 |
2,825 |
$312K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,377 |
4,349 |
$172K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
771 |
744 |
$101K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
700 |
670 |
$80K |
| A4335 |
Incontinence supply; miscellaneous |
13,528 |
13,297 |
$67K |
| A4927 |
Gloves, non-sterile, per 100 |
2,618 |
2,586 |
$19K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
125 |
101 |
$694.13 |
| A4259 |
Lancets, per box of 100 |
124 |
101 |
$187.10 |
| A4245 |
Alcohol wipes, per box |
121 |
89 |
$42.40 |