| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4215 |
Needle, sterile, any size, each |
1,519 |
1,363 |
$130K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,196 |
1,188 |
$63K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
62 |
62 |
$15K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
143 |
143 |
$11K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
423 |
423 |
$11K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
226 |
225 |
$11K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
91 |
90 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
45 |
41 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
37 |
37 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
38 |
38 |
$2K |
| E0156 |
Seat attachment, walker |
74 |
70 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
123 |
110 |
$749.81 |
| A4670 |
Automatic blood pressure monitor |
14 |
14 |
$561.34 |
| A4245 |
Alcohol wipes, per box |
262 |
262 |
$525.48 |
| A4335 |
Incontinence supply; miscellaneous |
37 |
36 |
$192.09 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
12 |
12 |
$171.25 |
| T5999 |
Supply, not otherwise specified |
42 |
42 |
$110.66 |
| A4259 |
Lancets, per box of 100 |
23 |
18 |
$9.94 |
| 0003A |
|
25 |
25 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |