| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,573 |
2,637 |
$66K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,150 |
371 |
$46K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,286 |
657 |
$32K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
533 |
270 |
$18K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
410 |
172 |
$14K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
992 |
702 |
$8K |
| V5266 |
Battery for use in hearing device |
166 |
156 |
$5K |
| 0124A |
|
23 |
23 |
$40.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
43 |
43 |
$16.00 |
| G0008 |
Administration of influenza virus vaccine |
128 |
128 |
$0.00 |
| 90480 |
|
57 |
57 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 90662 |
|
96 |
96 |
$0.00 |
| 91320 |
|
57 |
57 |
$0.00 |
| 0054A |
|
22 |
22 |
$0.00 |
| 0013A |
|
21 |
21 |
$0.00 |