| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,554 |
1,299 |
$25K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
173 |
156 |
$23K |
| A4215 |
Needle, sterile, any size, each |
657 |
509 |
$9K |
| E0570 |
Nebulizer, with compressor |
290 |
257 |
$5K |
| 0001A |
|
132 |
131 |
$5K |
| 0002A |
|
109 |
109 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
32 |
24 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
55 |
48 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
235 |
222 |
$1K |
| A4259 |
Lancets, per box of 100 |
413 |
363 |
$791.72 |
| A7035 |
Headgear used with positive airway pressure device |
32 |
30 |
$644.06 |
| A7037 |
Tubing used with positive airway pressure device |
30 |
28 |
$82.56 |