| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
47,751 |
45,722 |
$2.72M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
19,473 |
18,785 |
$1.95M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
14,071 |
13,478 |
$1.63M |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
16,486 |
15,928 |
$1.46M |
| T4541 |
Incontinence product, disposable underpad, large, each |
37,862 |
35,864 |
$1.37M |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
6,429 |
6,406 |
$725K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
4,204 |
3,990 |
$639K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
2,867 |
2,807 |
$537K |
| 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 |
3,290 |
3,150 |
$471K |
| S5165 |
Home modifications; per service |
2,748 |
2,744 |
$438K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
4,086 |
3,954 |
$298K |
| 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 |
1,182 |
1,148 |
$277K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,556 |
1,489 |
$267K |
| 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 |
847 |
822 |
$224K |
| A4927 |
Gloves, non-sterile, per 100 |
10,009 |
9,648 |
$182K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
2,228 |
2,228 |
$145K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
871 |
806 |
$117K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
889 |
855 |
$83K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
696 |
692 |
$73K |
| E0570 |
Nebulizer, with compressor |
548 |
548 |
$61K |
| E1399 |
Durable medical equipment, miscellaneous |
1,186 |
1,121 |
$58K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
573 |
543 |
$55K |
| A4335 |
Incontinence supply; miscellaneous |
3,134 |
3,050 |
$42K |
| E0244 |
Raised toilet seat |
380 |
379 |
$41K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
234 |
234 |
$37K |
| E0241 |
Bath tub wall rail, each |
127 |
127 |
$19K |
| A9281 |
Reaching/grabbing device, any type, any length, each |
238 |
232 |
$7K |
| E0246 |
Transfer tub rail attachment |
141 |
141 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
67 |
64 |
$175.09 |