| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
9,820 |
9,709 |
$1.29M |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
2,374 |
2,349 |
$689K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
13,716 |
13,564 |
$544K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
10,101 |
10,016 |
$286K |
| T4541 |
Incontinence product, disposable underpad, large, each |
13,690 |
13,549 |
$174K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,498 |
1,483 |
$147K |
| A4927 |
Gloves, non-sterile, per 100 |
5,765 |
5,667 |
$69K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
690 |
689 |
$66K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
291 |
291 |
$25K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
1,095 |
1,085 |
$20K |
| A5120 |
Skin barrier, wipes or swabs, each |
232 |
164 |
$2K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
14 |
14 |
$519.28 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
58 |
29 |
$186.04 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
58 |
29 |
$152.92 |