| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
6,513 |
6,493 |
$312K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,200 |
2,194 |
$248K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,642 |
2,628 |
$242K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,975 |
1,970 |
$160K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,096 |
4,078 |
$157K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
585 |
579 |
$144K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
510 |
506 |
$96K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
210 |
209 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
674 |
667 |
$10K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
66 |
66 |
$6K |
| E1399 |
Durable medical equipment, miscellaneous |
156 |
151 |
$5K |
| 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 |
12 |
12 |
$2K |