| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
36,596 |
34,685 |
$3.66M |
| A4554 |
Disposable underpads, all sizes |
73,254 |
68,525 |
$2.49M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
27,449 |
25,721 |
$2.44M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
20,083 |
18,989 |
$2.07M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
11,331 |
10,568 |
$1.71M |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
1,550 |
1,325 |
$1.29M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
6,514 |
6,009 |
$530K |
| A4927 |
Gloves, non-sterile, per 100 |
38,849 |
36,101 |
$512K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
4,367 |
4,041 |
$497K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
1,456 |
1,369 |
$241K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,824 |
1,719 |
$190K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,773 |
1,217 |
$167K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,769 |
1,673 |
$141K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,230 |
1,121 |
$123K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
626 |
570 |
$56K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
444 |
338 |
$6K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
142 |
139 |
$4K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
49 |
28 |
$3K |
| T5999 |
Supply, not otherwise specified |
249 |
248 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
81 |
66 |
$1K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
30 |
24 |
$247.01 |
| A5120 |
Skin barrier, wipes or swabs, each |
51 |
41 |
$165.72 |
| A4371 |
Ostomy skin barrier, powder, per oz |
15 |
12 |
$23.55 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
59 |
59 |
$0.00 |