| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
749 |
687 |
$68K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
929 |
874 |
$54K |
| T4541 |
Incontinence product, disposable underpad, large, each |
805 |
757 |
$36K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
258 |
242 |
$12K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
106 |
100 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
405 |
364 |
$4K |
| A4670 |
Automatic blood pressure monitor |
66 |
61 |
$4K |
| A4259 |
Lancets, per box of 100 |
45 |
43 |
$471.50 |