| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
5,658 |
5,431 |
$190K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,082 |
988 |
$94K |
| A4670 |
Automatic blood pressure monitor |
1,396 |
1,331 |
$72K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
387 |
351 |
$33K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
360 |
334 |
$21K |
| A4259 |
Lancets, per box of 100 |
2,271 |
2,230 |
$15K |
| T4541 |
Incontinence product, disposable underpad, large, each |
162 |
155 |
$7K |
| E0570 |
Nebulizer, with compressor |
126 |
120 |
$6K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
562 |
541 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
61 |
56 |
$2K |
| E0605 |
Vaporizer, room type |
65 |
53 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
408 |
296 |
$685.30 |