| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
4,132 |
3,729 |
$194K |
| E0570 |
Nebulizer, with compressor |
517 |
514 |
$27K |
| A4259 |
Lancets, per box of 100 |
2,659 |
2,449 |
$23K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
175 |
143 |
$15K |
| A4670 |
Automatic blood pressure monitor |
65 |
64 |
$4K |
| E0560 |
Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery |
19 |
17 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
38 |
36 |
$1K |
| E0605 |
Vaporizer, room type |
25 |
25 |
$539.28 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
198 |
197 |
$452.02 |