| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
37,722 |
37,591 |
$1.13M |
| X1939 |
|
13,408 |
13,344 |
$888K |
| A4554 |
Disposable underpads, all sizes |
25,482 |
24,775 |
$854K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,921 |
6,574 |
$478K |
| T4543 |
Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
3,541 |
3,450 |
$476K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
7,233 |
7,080 |
$376K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
5,761 |
5,529 |
$279K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
8,196 |
7,999 |
$257K |
| T5999 |
Supply, not otherwise specified |
42,204 |
40,659 |
$243K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,818 |
1,756 |
$189K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,673 |
1,563 |
$133K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
1,566 |
1,528 |
$97K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,483 |
1,383 |
$75K |
| S5160 |
Emergency response system; installation and testing |
677 |
655 |
$20K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
34 |
34 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
294 |
148 |
$2K |