| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
9,429 |
9,399 |
$317K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,469 |
1,468 |
$198K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,400 |
1,387 |
$176K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,583 |
2,579 |
$139K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,848 |
1,843 |
$139K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,656 |
4,652 |
$138K |
| T5999 |
Supply, not otherwise specified |
16,209 |
16,164 |
$136K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,077 |
2,072 |
$109K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
417 |
409 |
$32K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
533 |
525 |
$25K |
| E0244 |
Raised toilet seat |
240 |
236 |
$24K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
249 |
248 |
$15K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
145 |
145 |
$13K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
53 |
53 |
$7K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
33 |
32 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
55 |
55 |
$5K |
| X1939 |
|
38 |
38 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$2K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
14 |
14 |
$1K |