| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
9,931 |
9,552 |
$936K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
9,354 |
9,010 |
$750K |
| A4927 |
Gloves, non-sterile, per 100 |
34,345 |
33,455 |
$648K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13,252 |
12,665 |
$634K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
15,257 |
14,797 |
$627K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
18,418 |
17,703 |
$530K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
5,696 |
5,465 |
$502K |
| A4335 |
Incontinence supply; miscellaneous |
13,593 |
13,245 |
$349K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
3,797 |
3,658 |
$295K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,715 |
2,606 |
$248K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
891 |
871 |
$194K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
1,294 |
1,240 |
$184K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,072 |
2,022 |
$139K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,525 |
1,464 |
$117K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,080 |
1,042 |
$81K |
| S9999 |
Sales tax |
6,978 |
6,567 |
$65K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
648 |
626 |
$38K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
461 |
428 |
$23K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
327 |
312 |
$18K |
| K0001 |
Standard wheelchair |
231 |
214 |
$2K |
| E0621 |
Sling or seat, patient lift, canvas or nylon |
13 |
12 |
$1K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
17 |
15 |
$636.78 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
17 |
14 |
$239.88 |
| XX999 |
|
16 |
16 |
$0.00 |