| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,802 |
2,518 |
$156K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,885 |
1,866 |
$143K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
494 |
450 |
$43K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
374 |
347 |
$35K |
| A4927 |
Gloves, non-sterile, per 100 |
1,446 |
1,253 |
$27K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
176 |
160 |
$22K |
| A4215 |
Needle, sterile, any size, each |
720 |
706 |
$17K |
| A4259 |
Lancets, per box of 100 |
1,654 |
1,488 |
$14K |
| E0607 |
Home blood glucose monitor |
326 |
291 |
$13K |
| S8490 |
Insulin syringes (100 syringes, any size) |
265 |
230 |
$7K |
| T4541 |
Incontinence product, disposable underpad, large, each |
258 |
251 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
26 |
26 |
$3K |
| A4245 |
Alcohol wipes, per box |
698 |
688 |
$3K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
28 |
27 |
$959.20 |
| T4542 |
Incontinence product, disposable underpad, small size, each |
13 |
13 |
$312.00 |