| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,883 |
2,880 |
$67K |
| A4554 |
Disposable underpads, all sizes |
2,721 |
2,719 |
$55K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
973 |
972 |
$46K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
60 |
60 |
$4K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
632 |
628 |
$3K |
| A4259 |
Lancets, per box of 100 |
24 |
24 |
$12.84 |