| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
59,530 |
46,677 |
$4.91M |
| E1399 |
Durable medical equipment, miscellaneous |
8,952 |
5,347 |
$492K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
4,487 |
3,644 |
$166K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,203 |
1,034 |
$89K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,106 |
952 |
$86K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,213 |
1,047 |
$82K |
| T4541 |
Incontinence product, disposable underpad, large, each |
2,166 |
1,828 |
$63K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
152 |
134 |
$31K |
| A4927 |
Gloves, non-sterile, per 100 |
515 |
416 |
$8K |