| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
34,989 |
34,662 |
$1.92M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
25,814 |
25,564 |
$1.32M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
20,756 |
20,566 |
$943K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,824 |
3,809 |
$259K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,497 |
3,478 |
$227K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
14,908 |
14,815 |
$181K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,050 |
1,050 |
$66K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,023 |
3,016 |
$47K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
716 |
414 |
$30K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,608 |
1,476 |
$14K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
385 |
384 |
$11K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
695 |
397 |
$6K |
| K0003 |
Lightweight wheelchair |
257 |
257 |
$3K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
26 |
26 |
$1K |
| A4259 |
Lancets, per box of 100 |
1,603 |
1,471 |
$1K |
| A4335 |
Incontinence supply; miscellaneous |
49 |
48 |
$378.42 |