| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
1,865 |
1,794 |
$27K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
88 |
77 |
$16K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
219 |
209 |
$9K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
718 |
696 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
228 |
225 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
446 |
416 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
150 |
147 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
90 |
88 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
59 |
51 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
28 |
26 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$361.40 |
| A4335 |
Incontinence supply; miscellaneous |
296 |
289 |
$281.79 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
101 |
99 |
$81.77 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14 |
14 |
$19.90 |