| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,527 |
1,394 |
$56K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
455 |
419 |
$47K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,170 |
1,081 |
$15K |
| E0570 |
Nebulizer, with compressor |
412 |
401 |
$8K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
28 |
26 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
216 |
209 |
$3K |
| T4541 |
Incontinence product, disposable underpad, large, each |
93 |
87 |
$3K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
152 |
131 |
$2K |
| A4215 |
Needle, sterile, any size, each |
27 |
26 |
$787.67 |
| A4259 |
Lancets, per box of 100 |
119 |
113 |
$142.49 |
| A4245 |
Alcohol wipes, per box |
33 |
27 |
$51.87 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
122 |
115 |
$37.50 |
| G0008 |
Administration of influenza virus vaccine |
51 |
50 |
$0.00 |
| 90662 |
|
20 |
20 |
$0.00 |