| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
4,796 |
4,528 |
$492K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
4,062 |
3,848 |
$484K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,005 |
4,686 |
$448K |
| A4554 |
Disposable underpads, all sizes |
13,201 |
12,454 |
$327K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,789 |
1,684 |
$226K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
882 |
805 |
$143K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
20,307 |
19,460 |
$137K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,414 |
1,318 |
$131K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,089 |
998 |
$94K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
611 |
566 |
$49K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
480 |
475 |
$42K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
113 |
110 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
112 |
109 |
$2K |