| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
14,301 |
14,165 |
$1.82M |
| A4554 |
Disposable underpads, all sizes |
41,065 |
40,542 |
$1.46M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
27,455 |
27,212 |
$1.17M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,254 |
6,200 |
$1.04M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
7,500 |
7,428 |
$846K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,051 |
2,011 |
$504K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,091 |
2,007 |
$317K |
| A4335 |
Incontinence supply; miscellaneous |
52,084 |
51,264 |
$262K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
6,364 |
5,685 |
$62K |
| E0570 |
Nebulizer, with compressor |
900 |
893 |
$53K |
| A4670 |
Automatic blood pressure monitor |
610 |
603 |
$36K |
| 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 |
133 |
129 |
$28K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
52 |
51 |
$15K |
| A4259 |
Lancets, per box of 100 |
5,577 |
5,509 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
535 |
527 |
$9K |
| A4245 |
Alcohol wipes, per box |
4,281 |
4,219 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
198 |
197 |
$5K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
326 |
326 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
171 |
170 |
$1K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |