| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
47,278 |
31,673 |
$2.73M |
| A4927 |
Gloves, non-sterile, per 100 |
31,668 |
20,671 |
$645K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,650 |
7,911 |
$644K |
| A4554 |
Disposable underpads, all sizes |
23,953 |
15,691 |
$543K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,917 |
7,286 |
$471K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
11,152 |
10,015 |
$440K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,538 |
5,095 |
$422K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,400 |
1,260 |
$203K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
883 |
768 |
$172K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,134 |
1,928 |
$169K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,268 |
2,077 |
$160K |
| E1399 |
Durable medical equipment, miscellaneous |
1,641 |
1,206 |
$155K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,992 |
1,769 |
$135K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
19,699 |
15,798 |
$104K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,596 |
1,483 |
$89K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
885 |
776 |
$76K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,256 |
1,123 |
$65K |
| A4649 |
Surgical supply; miscellaneous |
3,764 |
3,290 |
$56K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
228 |
222 |
$31K |
| K0001 |
Standard wheelchair |
780 |
594 |
$9K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
53 |
51 |
$6K |