| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
3,610 |
1,835 |
$128K |
| A4335 |
Incontinence supply; miscellaneous |
4,978 |
3,799 |
$111K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
5,843 |
3,969 |
$86K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
991 |
536 |
$68K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,043 |
558 |
$67K |
| A4927 |
Gloves, non-sterile, per 100 |
6,316 |
4,001 |
$65K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
2,294 |
1,808 |
$64K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
407 |
200 |
$39K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
762 |
384 |
$33K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
122 |
113 |
$16K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
302 |
156 |
$11K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
90 |
77 |
$10K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
79 |
41 |
$9K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
71 |
61 |
$6K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
57 |
26 |
$2K |