| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
8,811 |
7,862 |
$441K |
| A4554 |
Disposable underpads, all sizes |
4,464 |
4,111 |
$211K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,412 |
1,265 |
$179K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,176 |
1,028 |
$136K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
909 |
818 |
$109K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
688 |
642 |
$96K |
| A4259 |
Lancets, per box of 100 |
8,760 |
7,853 |
$94K |
| E0607 |
Home blood glucose monitor |
1,298 |
1,165 |
$69K |
| A4927 |
Gloves, non-sterile, per 100 |
2,712 |
2,350 |
$35K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
274 |
233 |
$24K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
2,707 |
2,351 |
$23K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
1,515 |
1,169 |
$17K |
| A4258 |
Spring-powered device for lancet, each |
1,190 |
1,060 |
$9K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
60 |
60 |
$6K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
48 |
48 |
$4K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
247 |
245 |
$3K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
12 |
12 |
$3K |