| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic blood pressure monitor |
1,456 |
1,373 |
$80K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
745 |
700 |
$30K |
| T4541 |
Incontinence product, disposable underpad, large, each |
715 |
682 |
$30K |
| E0570 |
Nebulizer, with compressor |
854 |
804 |
$17K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
158 |
148 |
$15K |
| A4259 |
Lancets, per box of 100 |
609 |
577 |
$4K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
15 |
14 |
$2K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
12 |
12 |
$1K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
24 |
13 |
$605.92 |