| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,708 |
6,657 |
$321K |
| A4554 |
Disposable underpads, all sizes |
8,552 |
8,472 |
$303K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,474 |
2,460 |
$298K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,436 |
1,418 |
$126K |
| A4335 |
Incontinence supply; miscellaneous |
10,095 |
10,019 |
$55K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
321 |
317 |
$54K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
16 |
12 |
$239.16 |
| A4259 |
Lancets, per box of 100 |
14 |
12 |
$39.99 |