| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,637 |
4,452 |
$282K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,881 |
1,807 |
$181K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,824 |
4,609 |
$180K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,669 |
1,605 |
$160K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,148 |
1,110 |
$124K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
473 |
459 |
$68K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
388 |
386 |
$43K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
153 |
151 |
$18K |
| A4927 |
Gloves, non-sterile, per 100 |
837 |
814 |
$14K |
| A4335 |
Incontinence supply; miscellaneous |
600 |
585 |
$9K |
| 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 |
43 |
38 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
64 |
63 |
$5K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
33 |
29 |
$2K |