| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,693 |
1,599 |
$119K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,503 |
1,392 |
$105K |
| A4554 |
Disposable underpads, all sizes |
2,639 |
2,434 |
$100K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
897 |
838 |
$84K |
| A4927 |
Gloves, non-sterile, per 100 |
2,919 |
2,635 |
$56K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
203 |
189 |
$23K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
114 |
92 |
$11K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
118 |
114 |
$9K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
40 |
36 |
$3K |
| A4259 |
Lancets, per box of 100 |
118 |
114 |
$2K |