| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,084 |
982 |
$100K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
2,702 |
2,616 |
$93K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,140 |
725 |
$75K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,256 |
1,116 |
$58K |
| A4927 |
Gloves, non-sterile, per 100 |
4,344 |
4,191 |
$50K |
| T4541 |
Incontinence product, disposable underpad, large, each |
778 |
740 |
$31K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
514 |
322 |
$28K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
65 |
62 |
$4K |
| A4335 |
Incontinence supply; miscellaneous |
117 |
109 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
202 |
181 |
$700.48 |
| 0012A |
|
61 |
61 |
$652.97 |
| 0011A |
|
129 |
126 |
$70.22 |
| A4259 |
Lancets, per box of 100 |
15 |
12 |
$4.54 |
| 91301 |
|
192 |
189 |
$0.00 |