| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
3,804 |
3,739 |
$554K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
3,326 |
3,217 |
$423K |
| S5199 |
Personal care item, nos, each |
6,198 |
5,902 |
$381K |
| A4554 |
Disposable underpads, all sizes |
7,601 |
7,388 |
$354K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
13,727 |
12,323 |
$319K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,749 |
2,685 |
$283K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,190 |
2,139 |
$252K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,604 |
1,576 |
$204K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,388 |
1,349 |
$149K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,057 |
1,024 |
$142K |
| A4405 |
Ostomy skin barrier, non-pectin based, paste, per ounce |
4,617 |
4,537 |
$135K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,275 |
1,144 |
$127K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
1,079 |
1,068 |
$114K |
| A4927 |
Gloves, non-sterile, per 100 |
4,388 |
4,215 |
$108K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
347 |
328 |
$35K |
| 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 |
132 |
$31K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
759 |
724 |
$26K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
650 |
642 |
$8K |