| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
38,518 |
38,287 |
$1.37M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
11,267 |
11,206 |
$1.18M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
27,590 |
27,254 |
$1.08M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,654 |
7,626 |
$680K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,258 |
4,231 |
$589K |
| A4335 |
Incontinence supply; miscellaneous |
43,615 |
43,312 |
$233K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
555 |
550 |
$55K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
303 |
302 |
$29K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
953 |
884 |
$24K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
254 |
254 |
$23K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
55 |
54 |
$10K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
74 |
74 |
$10K |
| A4259 |
Lancets, per box of 100 |
480 |
470 |
$3K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$2K |
| A4245 |
Alcohol wipes, per box |
734 |
726 |
$1K |