| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,383 |
1,315 |
$301K |
| A4554 |
Disposable underpads, all sizes |
2,885 |
2,738 |
$178K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,086 |
1,966 |
$149K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,091 |
2,995 |
$124K |
| A4927 |
Gloves, non-sterile, per 100 |
3,678 |
3,561 |
$98K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
507 |
477 |
$83K |
| A5120 |
Skin barrier, wipes or swabs, each |
4,067 |
3,929 |
$74K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
37 |
37 |
$48K |