| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4532 |
Ped size pull-on lg |
5,363 |
5,042 |
$631K |
| A4927 |
Non-sterile gloves |
10,290 |
9,778 |
$326K |
| T4527 |
Adult size pull-on lg |
2,893 |
2,745 |
$257K |
| T4535 |
Disposable liner/shield/pad |
4,084 |
3,858 |
$233K |
| T4526 |
Adult size pull-on med |
2,872 |
2,735 |
$233K |
| A4554 |
Disposable underpads |
5,398 |
5,146 |
$219K |
| T4528 |
Adult size pull-on xl |
2,586 |
2,459 |
$206K |
| T4531 |
Ped size pull-on sm/med |
1,483 |
1,412 |
$173K |
| A4253 |
Blood glucose/reagent strips |
735 |
646 |
$52K |
| E0240 |
Bath/shower chair |
169 |
133 |
$34K |
| E0246 |
Transfer tub rail attachment |
395 |
163 |
$21K |
| A4259 |
Lancets per box |
730 |
643 |
$11K |
| T4523 |
Adult size brief/diaper lg |
128 |
122 |
$9K |
| E0241 |
Bath tub wall rail |
153 |
141 |
$6K |
| T4524 |
Adult size brief/diaper xl |
67 |
64 |
$4K |
| A4256 |
Calibrator solution/chips |
725 |
638 |
$4K |
| T4543 |
Adult disp brief/diap abv xl |
24 |
24 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
15 |
12 |
$486.87 |
| E0163 |
Commode chair with fixed arm |
13 |
12 |
$422.29 |