| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,743 |
1,675 |
$44K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
236 |
215 |
$24K |
| A4670 |
Automatic blood pressure monitor |
116 |
106 |
$6K |
| T4541 |
Incontinence product, disposable underpad, large, each |
75 |
72 |
$4K |
| A4259 |
Lancets, per box of 100 |
588 |
571 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13 |
12 |
$740.52 |
| A4927 |
Gloves, non-sterile, per 100 |
15 |
13 |
$186.80 |