| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4215 |
Needle, sterile, any size, each |
473 |
460 |
$25K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
192 |
185 |
$17K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
482 |
450 |
$16K |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
257 |
251 |
$7K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
428 |
418 |
$3K |
| A4670 |
Automatic blood pressure monitor |
61 |
60 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$760.10 |
| 98960 |
|
19 |
19 |
$506.54 |