| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
23,347 |
23,291 |
$2.64M |
| T4541 |
Incontinence product, disposable underpad, large, each |
48,961 |
48,784 |
$1.54M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
11,613 |
11,562 |
$1.32M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
6,782 |
6,758 |
$574K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,218 |
3,206 |
$243K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,605 |
11,568 |
$224K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,613 |
2,606 |
$144K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
4,926 |
4,926 |
$104K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,224 |
1,219 |
$92K |
| A4335 |
Incontinence supply; miscellaneous |
12,617 |
12,594 |
$82K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
8,814 |
8,797 |
$80K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
170 |
169 |
$0.00 |
| 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 |
36 |
36 |
$0.00 |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 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 |
12 |
12 |
$0.00 |