| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
33,352 |
32,488 |
$3.19M |
| A4927 |
Gloves, non-sterile, per 100 |
143,839 |
136,414 |
$3.02M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
33,952 |
32,981 |
$2.71M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
61,781 |
60,495 |
$2.09M |
| T4541 |
Incontinence product, disposable underpad, large, each |
45,729 |
44,808 |
$2.04M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
52,671 |
50,722 |
$1.99M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
19,162 |
18,630 |
$1.78M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
11,927 |
11,619 |
$1.14M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
6,734 |
6,541 |
$1.13M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
9,381 |
9,179 |
$835K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
9,890 |
9,657 |
$786K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
6,522 |
6,347 |
$718K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,644 |
2,593 |
$710K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
6,535 |
6,410 |
$530K |
| A4335 |
Incontinence supply; miscellaneous |
21,207 |
20,607 |
$500K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
1,633 |
1,599 |
$114K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
655 |
611 |
$82K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
940 |
914 |
$63K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
844 |
828 |
$63K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,003 |
978 |
$62K |
| 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 |
572 |
403 |
$35K |
| S9999 |
Sales tax |
371 |
363 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
131 |
125 |
$2K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
63 |
51 |
$96.66 |