| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Gloves, non-sterile, per 100 |
4,799 |
4,051 |
$82K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,060 |
1,029 |
$48K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
656 |
538 |
$47K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
481 |
425 |
$34K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,442 |
1,318 |
$30K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
462 |
435 |
$23K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
88 |
76 |
$5K |
| A4259 |
Lancets, per box of 100 |
979 |
904 |
$3K |
| E0570 |
Nebulizer, with compressor |
154 |
147 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
46 |
39 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
26 |
25 |
$2K |