| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
19,506 |
18,773 |
$1.38M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
18,388 |
17,733 |
$1.37M |
| A4554 |
Disposable underpads, all sizes |
45,766 |
44,161 |
$643K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
8,008 |
7,737 |
$591K |
| A4927 |
Gloves, non-sterile, per 100 |
40,815 |
39,279 |
$419K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,046 |
10,660 |
$385K |
| S5199 |
Personal care item, nos, each |
27,143 |
26,422 |
$337K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,554 |
2,490 |
$240K |
| A4335 |
Incontinence supply; miscellaneous |
35,518 |
33,256 |
$230K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,850 |
2,761 |
$209K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
3,630 |
3,482 |
$173K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,495 |
1,443 |
$92K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
575 |
560 |
$82K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
763 |
736 |
$79K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
18,612 |
17,869 |
$61K |
| 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 |
461 |
436 |
$48K |
| A4245 |
Alcohol wipes, per box |
290 |
272 |
$214.83 |