| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,607 |
8,435 |
$1.95M |
| A4554 |
Disposable underpads, all sizes |
9,391 |
9,203 |
$605K |
| A4927 |
Gloves, non-sterile, per 100 |
9,743 |
9,543 |
$155K |
| A5120 |
Skin barrier, wipes or swabs, each |
9,498 |
9,306 |
$99K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,936 |
2,893 |
$96K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
9,246 |
9,054 |
$29K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,649 |
1,616 |
$17K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
110 |
109 |
$9K |
| A4245 |
Alcohol wipes, per box |
1,675 |
1,642 |
$9K |
| A4259 |
Lancets, per box of 100 |
1,527 |
1,496 |
$4K |