| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
773 |
749 |
$73K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
763 |
730 |
$70K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
648 |
594 |
$53K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
530 |
510 |
$42K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,029 |
979 |
$26K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
736 |
704 |
$19K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
493 |
458 |
$19K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
206 |
200 |
$17K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
220 |
205 |
$16K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
104 |
100 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
678 |
629 |
$6K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
341 |
254 |
$5K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
12 |
12 |
$1K |
| A4332 |
Lubricant, individual sterile packet, each |
37 |
26 |
$331.01 |
| T4544 |
Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
18 |
16 |
$261.79 |