| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
27,428 |
27,313 |
$1.01M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
41,885 |
41,723 |
$994K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
10,331 |
10,288 |
$613K |
| A4554 |
Disposable underpads, all sizes |
23,842 |
23,775 |
$553K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
11,166 |
11,100 |
$302K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
8,527 |
8,479 |
$264K |
| A4927 |
Gloves, non-sterile, per 100 |
40,308 |
40,196 |
$187K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
4,334 |
4,319 |
$129K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,597 |
1,591 |
$128K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
839 |
820 |
$94K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
460 |
454 |
$71K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
323 |
309 |
$54K |
| A4670 |
Automatic blood pressure monitor |
548 |
536 |
$23K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
541 |
537 |
$10K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
40 |
40 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
108 |
108 |
$3K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
13 |
13 |
$1K |