| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
20,167 |
20,148 |
$550K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
8,519 |
8,501 |
$352K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
4,884 |
4,875 |
$301K |
| A4554 |
Disposable underpads, all sizes |
7,882 |
7,873 |
$213K |
| T4539 |
Incontinence product, diaper/brief, reusable, any size, each |
4,542 |
4,542 |
$129K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
3,957 |
3,954 |
$111K |
| A4927 |
Gloves, non-sterile, per 100 |
15,811 |
15,801 |
$66K |
| A4335 |
Incontinence supply; miscellaneous |
10,197 |
10,197 |
$60K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
883 |
881 |
$35K |
| A4402 |
Lubricant, per ounce |
1,369 |
1,364 |
$11K |
| 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 |
106 |
105 |
$9K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
110 |
109 |
$9K |
| E1399 |
Durable medical equipment, miscellaneous |
1,347 |
1,346 |
$9K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
12 |
12 |
$460.08 |