| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,146 |
2,118 |
$423K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,543 |
2,534 |
$366K |
| A4554 |
Disposable underpads, all sizes |
9,339 |
9,285 |
$360K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,209 |
5,188 |
$233K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,149 |
1,144 |
$140K |
| A4335 |
Incontinence supply; miscellaneous |
10,179 |
10,122 |
$56K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
350 |
341 |
$44K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,737 |
1,679 |
$10K |
| A4245 |
Alcohol wipes, per box |
2,507 |
2,494 |
$5K |
| A4259 |
Lancets, per box of 100 |
1,670 |
1,633 |
$870.79 |
| A4258 |
Spring-powered device for lancet, each |
24 |
24 |
$8.82 |
| E0607 |
Home blood glucose monitor |
14 |
14 |
$0.00 |