| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
219,331 |
218,542 |
$7.58M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
191,478 |
177,851 |
$6.40M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
64,836 |
64,331 |
$3.53M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
50,039 |
49,692 |
$2.77M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
60,142 |
59,779 |
$2.76M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
22,290 |
22,191 |
$1.87M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
127,857 |
127,572 |
$1.71M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
18,768 |
18,612 |
$1.41M |
| A4335 |
Incontinence supply; miscellaneous |
127,826 |
127,492 |
$1.25M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
19,368 |
19,182 |
$889K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
12,789 |
12,654 |
$763K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
22,320 |
21,755 |
$631K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
4,246 |
4,230 |
$414K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
10,864 |
10,713 |
$106K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,445 |
1,438 |
$71K |
| A4927 |
Gloves, non-sterile, per 100 |
4,682 |
4,537 |
$59K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
12 |
12 |
$50K |
| A4554 |
Disposable underpads, all sizes |
1,890 |
1,710 |
$41K |
| T4542 |
Incontinence product, disposable underpad, small size, each |
2,400 |
2,370 |
$31K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
755 |
754 |
$27K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
106 |
106 |
$13K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
143 |
143 |
$11K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
17 |
17 |
$2K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
13 |
13 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
83 |
83 |
$2K |
| A5120 |
Skin barrier, wipes or swabs, each |
183 |
180 |
$1K |
| A4553 |
Non-disposable underpads, all sizes |
40 |
39 |
$51.87 |