| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,108 |
2,048 |
$354K |
| A4927 |
Gloves, non-sterile, per 100 |
10,593 |
9,391 |
$257K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,849 |
1,768 |
$246K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,645 |
1,586 |
$212K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,300 |
1,227 |
$135K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,821 |
1,809 |
$103K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
589 |
554 |
$86K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
304 |
290 |
$56K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,809 |
1,742 |
$47K |
| A4554 |
Disposable underpads, all sizes |
1,769 |
1,654 |
$39K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
650 |
609 |
$33K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
232 |
154 |
$19K |
| A4553 |
Non-disposable underpads, all sizes |
91 |
86 |
$7K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
12 |
12 |
$0.00 |