| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,692 |
2,658 |
$409K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
3,514 |
3,456 |
$244K |
| E0221 |
Infrared heating pad system |
121 |
106 |
$234K |
| A4554 |
Disposable underpads, all sizes |
4,418 |
4,358 |
$207K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,136 |
1,122 |
$170K |
| A4927 |
Gloves, non-sterile, per 100 |
4,080 |
3,837 |
$90K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,136 |
2,103 |
$85K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
322 |
307 |
$69K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
486 |
477 |
$66K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
353 |
271 |
$28K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
45 |
44 |
$8K |