| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
8,204 |
8,192 |
$782K |
| A4554 |
Disposable underpads, all sizes |
10,759 |
10,743 |
$372K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
10,632 |
10,615 |
$249K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
9,857 |
9,843 |
$245K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,778 |
2,776 |
$184K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,676 |
4,670 |
$139K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
521 |
510 |
$48K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
40 |
40 |
$5K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
15 |
12 |
$2K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
14 |
14 |
$2K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
13 |
13 |
$1K |