| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,059 |
4,934 |
$728K |
| A4554 |
Disposable underpads, all sizes |
15,977 |
15,595 |
$565K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,664 |
2,604 |
$484K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,520 |
3,456 |
$429K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,525 |
5,430 |
$197K |
| A4335 |
Incontinence supply; miscellaneous |
16,642 |
16,111 |
$87K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
7,807 |
7,513 |
$45K |
| A4927 |
Gloves, non-sterile, per 100 |
6,025 |
5,928 |
$43K |
| A4670 |
Automatic blood pressure monitor |
64 |
58 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$292.72 |
| A4245 |
Alcohol wipes, per box |
12 |
12 |
$19.48 |