| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,760 |
1,287 |
$265K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,453 |
1,295 |
$60K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
434 |
372 |
$49K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
152 |
144 |
$15K |
| A4259 |
Lancets, per box of 100 |
881 |
791 |
$7K |
| A5120 |
Skin barrier, wipes or swabs, each |
80 |
25 |
$1K |