| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,363 |
5,042 |
$631K |
| A4927 |
Gloves, non-sterile, per 100 |
10,290 |
9,778 |
$326K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,893 |
2,745 |
$257K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,084 |
3,858 |
$233K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,872 |
2,735 |
$233K |
| A4554 |
Disposable underpads, all sizes |
5,398 |
5,146 |
$219K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,586 |
2,459 |
$206K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
1,483 |
1,412 |
$173K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
735 |
646 |
$52K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
169 |
133 |
$34K |
| E0246 |
Transfer tub rail attachment |
395 |
163 |
$21K |
| A4259 |
Lancets, per box of 100 |
730 |
643 |
$11K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
128 |
122 |
$9K |
| E0241 |
Bath tub wall rail, each |
153 |
141 |
$6K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
67 |
64 |
$4K |
| A4256 |
Normal, low and high calibrator solution / chips |
725 |
638 |
$4K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
24 |
24 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
12 |
$486.87 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
13 |
12 |
$422.29 |