| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
312 |
290 |
$48K |
| A6260 |
Wound cleansers, any type, any size |
730 |
630 |
$39K |
| A4554 |
Disposable underpads, all sizes |
361 |
301 |
$28K |
| A4927 |
Gloves, non-sterile, per 100 |
919 |
794 |
$15K |
| A4670 |
Automatic blood pressure monitor |
52 |
43 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
19 |
14 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
39 |
39 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$0.00 |