| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
6,102 |
5,882 |
$298K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,576 |
3,344 |
$260K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,425 |
2,340 |
$224K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,180 |
2,115 |
$200K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,802 |
1,751 |
$155K |
| A4927 |
Gloves, non-sterile, per 100 |
6,531 |
6,311 |
$87K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
308 |
295 |
$27K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
268 |
254 |
$17K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,843 |
1,743 |
$15K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
79 |
73 |
$7K |
| A4259 |
Lancets, per box of 100 |
81 |
74 |
$1K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
13 |
13 |
$1K |