| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
19,291 |
17,535 |
$1.67M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
20,014 |
17,667 |
$1.59M |
| A4927 |
Gloves, non-sterile, per 100 |
81,800 |
74,219 |
$1.42M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13,273 |
12,112 |
$1.16M |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
19,575 |
17,178 |
$1.15M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
8,799 |
7,667 |
$781K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
7,291 |
6,652 |
$708K |
| T4541 |
Incontinence product, disposable underpad, large, each |
32,744 |
28,615 |
$686K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
5,145 |
4,601 |
$287K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
6,965 |
6,459 |
$283K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
3,853 |
3,022 |
$272K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,951 |
2,713 |
$199K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,147 |
1,091 |
$76K |
| A4259 |
Lancets, per box of 100 |
5,457 |
5,078 |
$40K |
| A4215 |
Needle, sterile, any size, each |
2,653 |
2,328 |
$35K |
| A4670 |
Automatic blood pressure monitor |
706 |
672 |
$32K |
| S8490 |
Insulin syringes (100 syringes, any size) |
1,342 |
1,179 |
$22K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
212 |
210 |
$20K |
| E0607 |
Home blood glucose monitor |
511 |
473 |
$18K |
| E0570 |
Nebulizer, with compressor |
1,344 |
1,272 |
$17K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
211 |
192 |
$16K |
| K0001 |
Standard wheelchair |
488 |
448 |
$15K |
| A4245 |
Alcohol wipes, per box |
5,436 |
4,948 |
$11K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,196 |
1,084 |
$8K |
| 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 |
58 |
53 |
$7K |
| A4322 |
Irrigation syringe, bulb or piston, each |
241 |
199 |
$6K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
464 |
401 |
$6K |
| T4531 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
75 |
71 |
$6K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
348 |
311 |
$3K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
48 |
44 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
375 |
346 |
$2K |
| A4402 |
Lubricant, per ounce |
24 |
24 |
$173.54 |
| E0156 |
Seat attachment, walker |
13 |
13 |
$145.97 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
16 |
12 |
$128.24 |
| A4256 |
Normal, low and high calibrator solution / chips |
14 |
14 |
$53.15 |
| A4335 |
Incontinence supply; miscellaneous |
12 |
12 |
$19.95 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
18 |
17 |
$0.00 |