| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,398 |
10,829 |
$942K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
22,783 |
21,123 |
$798K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
7,153 |
6,785 |
$727K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
10,349 |
9,758 |
$719K |
| A4554 |
Disposable underpads, all sizes |
23,266 |
21,407 |
$587K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
3,870 |
3,584 |
$466K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,532 |
2,277 |
$159K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
2,109 |
1,807 |
$108K |
| A4335 |
Incontinence supply; miscellaneous |
20,980 |
20,239 |
$87K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
834 |
826 |
$75K |
| A4259 |
Lancets, per box of 100 |
2,175 |
1,958 |
$31K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
194 |
190 |
$14K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,324 |
2,982 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
2,169 |
1,912 |
$9K |
| A4256 |
Normal, low and high calibrator solution / chips |
1,283 |
1,154 |
$7K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
74 |
74 |
$5K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
70 |
67 |
$2K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
3,666 |
3,560 |
$316.86 |