| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
16,590 |
16,109 |
$1.93M |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
29,421 |
26,418 |
$1.82M |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
13,030 |
12,703 |
$1.74M |
| A4554 |
Disposable underpads, all sizes |
30,009 |
29,364 |
$1.68M |
| A4927 |
Gloves, non-sterile, per 100 |
65,245 |
59,337 |
$1.59M |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
10,012 |
9,724 |
$1.29M |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
8,990 |
8,736 |
$1.03M |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
8,238 |
7,981 |
$1.02M |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
4,992 |
4,790 |
$793K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
15,948 |
15,490 |
$764K |
| 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 |
8,634 |
7,653 |
$722K |
| 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 |
3,265 |
2,827 |
$402K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,942 |
2,856 |
$349K |
| A4553 |
Non-disposable underpads, all sizes |
4,426 |
3,937 |
$245K |
| B4100 |
Food thickener, administered orally, per ounce |
3,327 |
2,475 |
$212K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,275 |
1,235 |
$107K |
| 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 |
496 |
417 |
$97K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,312 |
1,280 |
$64K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
484 |
469 |
$46K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
204 |
196 |
$38K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
1,555 |
1,535 |
$28K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
85 |
81 |
$12K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
2,588 |
1,722 |
$7K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
64 |
48 |
$6K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
317 |
263 |
$5K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
125 |
97 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
16 |
12 |
$3K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
26 |
24 |
$2K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
13 |
13 |
$1K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
19 |
12 |
$55.19 |