| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,761 |
1,649 |
$231K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
569 |
524 |
$192K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,406 |
1,301 |
$179K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,585 |
1,476 |
$177K |
| A4554 |
Disposable underpads, all sizes |
3,026 |
2,842 |
$143K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
415 |
397 |
$59K |
| A4927 |
Gloves, non-sterile, per 100 |
1,812 |
1,709 |
$45K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
272 |
260 |
$37K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
236 |
218 |
$30K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
255 |
236 |
$27K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
662 |
591 |
$23K |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
40 |
36 |
$17K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
364 |
331 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
70 |
64 |
$5K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
43 |
37 |
$4K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
25 |
24 |
$3K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14 |
14 |
$2K |