| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
12,301 |
11,342 |
$534K |
| T4527 |
Adult size pull-on lg |
2,817 |
2,710 |
$280K |
| T4526 |
Adult size pull-on med |
2,247 |
2,108 |
$199K |
| T4528 |
Adult size pull-on xl |
1,630 |
1,588 |
$166K |
| T4535 |
Disposable liner/shield/pad |
2,726 |
2,555 |
$134K |
| A4927 |
Non-sterile gloves |
7,416 |
7,171 |
$126K |
| T4541 |
Large disposable underpad |
4,983 |
4,754 |
$98K |
| T4523 |
Adult size brief/diaper lg |
822 |
802 |
$83K |
| A4215 |
Sterile needle |
4,842 |
4,434 |
$74K |
| T4522 |
Adult size brief/diaper med |
749 |
691 |
$69K |
| T4524 |
Adult size brief/diaper xl |
762 |
738 |
$68K |
| A4259 |
Lancets per box |
7,505 |
6,991 |
$61K |
| S8490 |
100 insulin syringes |
1,894 |
1,844 |
$35K |
| A4245 |
Alcohol wipes per box |
6,302 |
5,730 |
$16K |
| T4537 |
Reusable underpad bed size |
74 |
73 |
$8K |
| E0607 |
Blood glucose monitor home |
308 |
278 |
$5K |
| T4525 |
Adult size pull-on sm |
27 |
27 |
$2K |
| A4258 |
Lancet device each |
527 |
513 |
$1K |
| A4256 |
Calibrator solution/chips |
29 |
28 |
$166.41 |
| E0325 |
Urinal male jug-type |
13 |
13 |
$97.72 |
| K0554 |
Ther cgm receiver/monitor |
16 |
15 |
$84.14 |