| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
23,863 |
23,793 |
$1.26M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,192 |
13,153 |
$800K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
6,458 |
6,453 |
$501K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,030 |
5,018 |
$298K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
13,000 |
12,985 |
$200K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,943 |
1,937 |
$186K |
| A4335 |
Incontinence supply; miscellaneous |
14,117 |
14,107 |
$182K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
9,666 |
9,642 |
$113K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,559 |
3,554 |
$108K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
896 |
896 |
$88K |
| K0001 |
Standard wheelchair |
525 |
525 |
$8K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
991 |
945 |
$7K |
| K0003 |
Lightweight wheelchair |
251 |
251 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
95 |
94 |
$2K |
| A4259 |
Lancets, per box of 100 |
987 |
943 |
$332.08 |
| A4258 |
Spring-powered device for lancet, each |
14 |
14 |
$6.74 |