| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
3,854 |
3,630 |
$211K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,813 |
1,717 |
$136K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,804 |
1,729 |
$95K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,709 |
1,613 |
$95K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
607 |
560 |
$91K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
729 |
662 |
$87K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
462 |
433 |
$57K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
329 |
305 |
$49K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
1,115 |
943 |
$44K |
| A4927 |
Gloves, non-sterile, per 100 |
1,715 |
1,592 |
$36K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,047 |
1,218 |
$25K |
| A4335 |
Incontinence supply; miscellaneous |
1,781 |
1,111 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
13 |
$522.32 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
44 |
38 |
$169.64 |