| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
968 |
938 |
$123K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,300 |
2,267 |
$115K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
585 |
576 |
$78K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
964 |
945 |
$68K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
74 |
66 |
$56K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
346 |
343 |
$53K |
| A4927 |
Gloves, non-sterile, per 100 |
2,377 |
2,342 |
$46K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
165 |
162 |
$20K |
| A4553 |
Non-disposable underpads, all sizes |
228 |
225 |
$3K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
145 |
144 |
$2K |
| E0570 |
Nebulizer, with compressor |
342 |
337 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$47.84 |