| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
72,738 |
72,397 |
$5.46M |
| A4927 |
Gloves, non-sterile, per 100 |
184,784 |
183,938 |
$5.26M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
37,482 |
37,334 |
$5.05M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
60,715 |
60,419 |
$4.89M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
42,367 |
42,189 |
$4.55M |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
35,531 |
34,673 |
$4.42M |
| T4541 |
Incontinence product, disposable underpad, large, each |
116,953 |
116,502 |
$3.68M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
78,935 |
78,503 |
$3.60M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
34,239 |
34,050 |
$3.42M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
39,184 |
38,912 |
$3.41M |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
8,020 |
7,790 |
$3.34M |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
25,098 |
24,339 |
$3.05M |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
21,672 |
21,530 |
$2.51M |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
17,399 |
17,302 |
$2.10M |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
12,092 |
11,700 |
$1.65M |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
10,908 |
10,733 |
$1.61M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
6,733 |
6,653 |
$1.59M |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
15,105 |
15,010 |
$1.50M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
92,315 |
92,094 |
$1.48M |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
10,772 |
10,704 |
$1.42M |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
2,519 |
2,501 |
$1.14M |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
8,024 |
7,691 |
$965K |
| B4100 |
Food thickener, administered orally, per ounce |
13,872 |
13,789 |
$785K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
3,846 |
3,504 |
$534K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
3,938 |
3,686 |
$459K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
4,436 |
4,369 |
$437K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
106,455 |
104,192 |
$298K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
723 |
721 |
$273K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
2,380 |
2,342 |
$249K |
| B4102 |
Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
1,499 |
1,445 |
$151K |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
2,510 |
2,152 |
$140K |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
305 |
286 |
$112K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
360 |
359 |
$55K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
472 |
463 |
$32K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
266 |
250 |
$25K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
3,273 |
3,128 |
$25K |
| A4332 |
Lubricant, individual sterile packet, each |
1,479 |
1,395 |
$14K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
91 |
91 |
$11K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
1,902 |
1,809 |
$10K |
| A4322 |
Irrigation syringe, bulb or piston, each |
90 |
86 |
$5K |
| E1399 |
Durable medical equipment, miscellaneous |
652 |
619 |
$4K |
| A4335 |
Incontinence supply; miscellaneous |
468 |
417 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
219 |
215 |
$3K |