| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
8,082 |
8,081 |
$339K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
7,521 |
7,519 |
$332K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
7,970 |
7,969 |
$80K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,849 |
5,848 |
$79K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,864 |
1,864 |
$75K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,112 |
1,112 |
$49K |
| A4335 |
Incontinence supply; miscellaneous |
7,328 |
7,327 |
$47K |
| A4927 |
Gloves, non-sterile, per 100 |
1,614 |
1,614 |
$9K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
713 |
685 |
$6K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
149 |
149 |
$6K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
143 |
143 |
$3K |
| A4259 |
Lancets, per box of 100 |
713 |
685 |
$317.91 |