| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
13,064 |
12,201 |
$715K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
5,919 |
5,488 |
$589K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
4,884 |
4,551 |
$409K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
3,756 |
3,504 |
$408K |
| T4541 |
Incontinence product, disposable underpad, large, each |
7,260 |
6,726 |
$267K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
626 |
624 |
$98K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
423 |
387 |
$95K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
463 |
426 |
$87K |
| 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 |
353 |
331 |
$48K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
314 |
295 |
$25K |
| A4927 |
Gloves, non-sterile, per 100 |
1,207 |
1,133 |
$20K |
| E1399 |
Durable medical equipment, miscellaneous |
135 |
129 |
$9K |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
27 |
24 |
$5K |
| E0241 |
Bath tub wall rail, each |
13 |
13 |
$1K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
12 |
12 |
$785.00 |