| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
52,176 |
52,064 |
$4.73M |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
21,439 |
20,367 |
$2.44M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
72,176 |
72,023 |
$2.34M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
41,169 |
41,093 |
$2.29M |
| A4554 |
Disposable underpads, all sizes |
67,612 |
67,482 |
$2.25M |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
51,310 |
51,197 |
$1.20M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
31,611 |
31,540 |
$850K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
8,348 |
7,863 |
$672K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
5,697 |
5,344 |
$533K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
3,193 |
3,124 |
$459K |
| L3222 |
Orthopedic footwear, mens shoe, hightop, depth inlay, each |
1,981 |
1,925 |
$331K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
2,465 |
2,405 |
$328K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
3,442 |
3,437 |
$299K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
4,309 |
4,300 |
$191K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
1,211 |
1,166 |
$187K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
5,044 |
4,770 |
$183K |
| A4927 |
Gloves, non-sterile, per 100 |
24,895 |
24,859 |
$116K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
128 |
128 |
$29K |
| A4670 |
Automatic blood pressure monitor |
630 |
628 |
$28K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
297 |
296 |
$10K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
133 |
131 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
195 |
195 |
$4K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
228 |
228 |
$3K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
33 |
33 |
$3K |
| L3050 |
Foot, arch support, removable, premolded, metatarsal, each |
12 |
12 |
$721.44 |