| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5199 |
Personal care item, nos, each |
18,422 |
17,229 |
$1.06M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,430 |
5,192 |
$557K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,773 |
5,507 |
$542K |
| A4554 |
Disposable underpads, all sizes |
13,724 |
12,982 |
$486K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,564 |
3,419 |
$420K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
4,531 |
4,314 |
$391K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,713 |
2,575 |
$273K |
| A4927 |
Gloves, non-sterile, per 100 |
19,703 |
16,615 |
$233K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,853 |
1,756 |
$176K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,012 |
782 |
$137K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,600 |
1,528 |
$135K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,869 |
4,590 |
$122K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,337 |
1,248 |
$110K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,025 |
966 |
$95K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
369 |
344 |
$55K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
428 |
398 |
$52K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
286 |
269 |
$23K |