| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Gloves, non-sterile, per 100 |
240,537 |
235,611 |
$6.87M |
| T4541 |
Incontinence product, disposable underpad, large, each |
119,382 |
118,208 |
$6.42M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
61,751 |
61,103 |
$5.58M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
136,500 |
134,261 |
$3.91M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
35,434 |
34,948 |
$3.15M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
79,325 |
78,094 |
$3.14M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
40,200 |
39,656 |
$3.05M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
11,427 |
11,264 |
$2.73M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
25,596 |
25,332 |
$2.40M |
| A4335 |
Incontinence supply; miscellaneous |
78,107 |
77,306 |
$2.22M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
26,503 |
26,108 |
$2.08M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
7,182 |
7,068 |
$1.13M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
8,353 |
8,278 |
$525K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
4,558 |
4,477 |
$395K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
4,120 |
4,022 |
$307K |
| S9999 |
Sales tax |
24,891 |
23,253 |
$298K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,267 |
1,143 |
$67K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
231 |
230 |
$29K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
535 |
522 |
$18K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,920 |
1,857 |
$17K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,157 |
1,140 |
$8K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
128 |
128 |
$8K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
255 |
229 |
$7K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
24 |
24 |
$1K |