| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
121,248 |
115,533 |
$7.45M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
45,204 |
43,261 |
$7.26M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
44,874 |
42,869 |
$6.54M |
| A4927 |
Gloves, non-sterile, per 100 |
131,192 |
124,798 |
$6.10M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
19,920 |
19,110 |
$3.20M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
6,944 |
6,546 |
$1.56M |
| A4335 |
Incontinence supply; miscellaneous |
118,143 |
112,661 |
$1.05M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,882 |
2,689 |
$616K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
4,763 |
4,483 |
$548K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
4,081 |
3,842 |
$493K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,560 |
2,451 |
$337K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,226 |
2,095 |
$281K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
7,973 |
6,443 |
$43K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,873 |
1,580 |
$33K |
| K0001 |
Standard wheelchair |
5,615 |
3,126 |
$28K |
| A4256 |
Normal, low and high calibrator solution / chips |
6,851 |
5,569 |
$3K |
| E0607 |
Home blood glucose monitor |
344 |
192 |
$2K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
23 |
12 |
$45.52 |