| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
23,863 |
14,519 |
$2.05M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,690 |
2,219 |
$159K |
| A4927 |
Gloves, non-sterile, per 100 |
6,625 |
5,764 |
$128K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
2,479 |
2,018 |
$121K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,688 |
1,436 |
$84K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,541 |
3,023 |
$79K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
579 |
507 |
$78K |
| A4554 |
Disposable underpads, all sizes |
4,549 |
4,041 |
$70K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
119 |
93 |
$6K |
| A9270 |
Non-covered item or service |
11,644 |
5,002 |
$1K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
28 |
26 |
$1K |