| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,991 |
5,982 |
$279K |
| A4554 |
Disposable underpads, all sizes |
6,308 |
6,274 |
$228K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,918 |
1,866 |
$218K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,512 |
1,511 |
$144K |
| A4335 |
Incontinence supply; miscellaneous |
9,491 |
9,451 |
$52K |
| S5125 |
Attendant care services; per 15 minutes |
150 |
93 |
$50K |
| A4245 |
Alcohol wipes, per box |
1,940 |
1,939 |
$14K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,180 |
2,113 |
$12K |
| A4259 |
Lancets, per box of 100 |
2,159 |
2,104 |
$1K |