| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,859 |
3,835 |
$508K |
| A4554 |
Disposable underpads, all sizes |
13,209 |
13,165 |
$488K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
9,008 |
8,951 |
$439K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,975 |
1,962 |
$345K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,245 |
2,235 |
$232K |
| A4335 |
Incontinence supply; miscellaneous |
14,634 |
14,507 |
$80K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
80 |
41 |
$140.23 |
| A4259 |
Lancets, per box of 100 |
29 |
29 |
$8.12 |