| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment, miscellaneous |
26,230 |
13,308 |
$3.91M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,320 |
1,281 |
$300K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,477 |
2,398 |
$189K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,609 |
2,450 |
$157K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
700 |
680 |
$146K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,280 |
2,176 |
$142K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
971 |
964 |
$134K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
653 |
637 |
$133K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
415 |
406 |
$91K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
382 |
359 |
$82K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
428 |
425 |
$75K |
| 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 |
261 |
260 |
$73K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
378 |
375 |
$70K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
134 |
131 |
$54K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
205 |
198 |
$48K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
143 |
142 |
$34K |
| A4927 |
Gloves, non-sterile, per 100 |
590 |
566 |
$30K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
559 |
551 |
$25K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
76 |
76 |
$15K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
46 |
46 |
$7K |
| B4100 |
Food thickener, administered orally, per ounce |
14 |
12 |
$1K |