| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
17,421 |
17,420 |
$752K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,648 |
16,647 |
$733K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,629 |
4,629 |
$200K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
13,359 |
13,355 |
$183K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
16,955 |
16,954 |
$173K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,436 |
3,436 |
$139K |
| A4335 |
Incontinence supply; miscellaneous |
15,757 |
15,756 |
$111K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,910 |
2,909 |
$106K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
888 |
888 |
$30K |
| A4927 |
Gloves, non-sterile, per 100 |
4,167 |
4,165 |
$24K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,318 |
1,232 |
$10K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
243 |
243 |
$6K |
| A4259 |
Lancets, per box of 100 |
1,321 |
1,236 |
$1K |
| E0607 |
Home blood glucose monitor |
22 |
22 |
$0.00 |