| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
4,728 |
4,529 |
$88K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
994 |
816 |
$63K |
| A4215 |
Needle, sterile, any size, each |
2,652 |
2,580 |
$52K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,008 |
843 |
$38K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,660 |
1,398 |
$37K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
400 |
372 |
$35K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
730 |
588 |
$29K |
| A4927 |
Gloves, non-sterile, per 100 |
2,503 |
2,000 |
$27K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
269 |
250 |
$23K |
| S8490 |
Insulin syringes (100 syringes, any size) |
1,378 |
1,292 |
$19K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
265 |
236 |
$16K |
| E0570 |
Nebulizer, with compressor |
237 |
236 |
$4K |
| E1399 |
Durable medical equipment, miscellaneous |
1,175 |
1,148 |
$4K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
29 |
24 |
$4K |
| A4259 |
Lancets, per box of 100 |
2,198 |
2,153 |
$3K |
| A4245 |
Alcohol wipes, per box |
1,362 |
1,326 |
$3K |
| E0607 |
Home blood glucose monitor |
247 |
245 |
$3K |
| A4670 |
Automatic blood pressure monitor |
42 |
41 |
$2K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
19 |
17 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
116 |
116 |
$891.37 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
257 |
251 |
$466.52 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$21.42 |
| A4335 |
Incontinence supply; miscellaneous |
27 |
24 |
$0.00 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
31 |
14 |
$0.00 |