| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
20,840 |
20,401 |
$967K |
| T4541 |
Incontinence product, disposable underpad, large, each |
20,957 |
20,522 |
$783K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
10,527 |
10,332 |
$651K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,559 |
2,538 |
$198K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,041 |
2,950 |
$187K |
| A4927 |
Gloves, non-sterile, per 100 |
21,592 |
21,084 |
$175K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
2,170 |
2,137 |
$139K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
24 |
24 |
$2K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
53 |
52 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
449 |
446 |
$2K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
12 |
12 |
$1K |
| A4259 |
Lancets, per box of 100 |
432 |
430 |
$167.00 |