| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12,301 |
11,342 |
$534K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,817 |
2,710 |
$280K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,247 |
2,108 |
$199K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,630 |
1,588 |
$166K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,726 |
2,555 |
$134K |
| A4927 |
Gloves, non-sterile, per 100 |
7,416 |
7,171 |
$126K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,983 |
4,754 |
$98K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
822 |
802 |
$83K |
| A4215 |
Needle, sterile, any size, each |
4,842 |
4,434 |
$74K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
749 |
691 |
$69K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
762 |
738 |
$68K |
| A4259 |
Lancets, per box of 100 |
7,505 |
6,991 |
$61K |
| S8490 |
Insulin syringes (100 syringes, any size) |
1,894 |
1,844 |
$35K |
| A4245 |
Alcohol wipes, per box |
6,302 |
5,730 |
$16K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
74 |
73 |
$8K |
| E0607 |
Home blood glucose monitor |
308 |
278 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
27 |
27 |
$2K |
| A4258 |
Spring-powered device for lancet, each |
527 |
513 |
$1K |
| A4256 |
Normal, low and high calibrator solution / chips |
29 |
28 |
$166.41 |
| E0325 |
Urinal; male, jug-type, any material |
13 |
13 |
$97.72 |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
16 |
15 |
$84.14 |