| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Incontinence product, disposable underpad, large, each |
914 |
897 |
$75K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
312 |
306 |
$32K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
149 |
147 |
$27K |
| 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 |
229 |
140 |
$9K |
| A4670 |
Automatic blood pressure monitor |
112 |
112 |
$5K |
| 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 |
221 |
139 |
$5K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
214 |
214 |
$3K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
508 |
484 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
113 |
110 |
$2K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
53 |
50 |
$1K |
| A4335 |
Incontinence supply; miscellaneous |
178 |
174 |
$1K |
| E0325 |
Urinal; male, jug-type, any material |
26 |
26 |
$195.60 |