| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
2,257 |
2,126 |
$86K |
| A4670 |
Automatic bp monitor, dial |
1,030 |
1,030 |
$64K |
| T4528 |
Adult size pull-on xl |
523 |
478 |
$51K |
| T4527 |
Adult size pull-on lg |
469 |
442 |
$43K |
| T4541 |
Large disposable underpad |
737 |
691 |
$31K |
| E0570 |
Nebulizer with compression |
465 |
463 |
$27K |
| L3908 |
Who cock-up nonmolde pre ots |
414 |
384 |
$24K |
| T4526 |
Adult size pull-on med |
230 |
225 |
$22K |
| T4535 |
Disposable liner/shield/pad |
501 |
467 |
$21K |
| A6530 |
Compression stocking bk18-30 |
182 |
182 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
213 |
211 |
$8K |
| A4259 |
Lancets per box |
900 |
866 |
$6K |
| T4522 |
Adult size brief/diaper med |
88 |
85 |
$6K |
| A4927 |
Non-sterile gloves |
487 |
447 |
$5K |
| E0603 |
Electric breast pump |
43 |
42 |
$5K |
| L1812 |
Ko elastic w/joints pre ots |
84 |
81 |
$5K |
| T4523 |
Adult size brief/diaper lg |
38 |
37 |
$3K |
| E0156 |
Walker seat attachment |
147 |
147 |
$3K |
| E0100 |
Cane adjust/fixed with tip |
138 |
136 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
106 |
106 |
$947.63 |
| E0245 |
Tub stool or bench |
12 |
12 |
$900.00 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$30.29 |